Provider Demographics
NPI:1609173376
Name:KAR PHARMACY INC
Entity Type:Organization
Organization Name:KAR PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AURELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-228-4795
Mailing Address - Street 1:3855 SW 137TH AVE
Mailing Address - Street 2:UNIT 6
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-8820
Mailing Address - Country:US
Mailing Address - Phone:305-228-4795
Mailing Address - Fax:305-228-4798
Practice Address - Street 1:3855 SW 137TH AVE
Practice Address - Street 2:UNIT 6
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8820
Practice Address - Country:US
Practice Address - Phone:305-228-4795
Practice Address - Fax:305-228-4798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-16
Last Update Date:2012-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4062OtherDOC NUMBER