Provider Demographics
NPI:1578861795
Name:AMERICAN PHARMACY INC
Entity Type:Organization
Organization Name:AMERICAN PHARMACY INC
Other - Org Name:AMERICAN PHARMACY, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ORELVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-603-7791
Mailing Address - Street 1:1432 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-3528
Mailing Address - Country:US
Mailing Address - Phone:305-603-7791
Mailing Address - Fax:786-362-6675
Practice Address - Street 1:1432 E 4TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-3528
Practice Address - Country:US
Practice Address - Phone:305-603-7791
Practice Address - Fax:786-362-6675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-11
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH253433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2141672OtherPK