Provider Demographics
NPI:1477942845
Name:MAHFAR LLC
Entity Type:Organization
Organization Name:MAHFAR LLC
Other - Org Name:BAYVIEW PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:DINO
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHEBBI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:786-456-1526
Mailing Address - Street 1:6301 BISCAYNE BLVD #101
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33138
Mailing Address - Country:US
Mailing Address - Phone:786-456-1526
Mailing Address - Fax:786-456-1527
Practice Address - Street 1:6301 BISCAYNE BLVD #101
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33138
Practice Address - Country:US
Practice Address - Phone:786-456-1526
Practice Address - Fax:786-456-1527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH28805333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH28805OtherDEPARTMENT OF HEALTH/ BOEARD OF PHARMACY