Provider Demographics
NPI:1497152425
Name:@ ALL PHARMACY & SUPPLIES LLC
Entity Type:Organization
Organization Name:@ ALL PHARMACY & SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAGGEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-225-0280
Mailing Address - Street 1:14637 SW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-5703
Mailing Address - Country:US
Mailing Address - Phone:305-225-0280
Mailing Address - Fax:305-225-0284
Practice Address - Street 1:14637 SW 56TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-5703
Practice Address - Country:US
Practice Address - Phone:305-225-0280
Practice Address - Fax:305-225-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 287123336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH 28712OtherCOMMUNITY/RETAIL PHARMACY