Provider Demographics
NPI:1710762067
Name:ALMA PHARMACY, INC
Entity Type:Organization
Organization Name:ALMA PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:
Authorized Official - Last Name:LORITES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-502-9427
Mailing Address - Street 1:17990 OLD CUTLER RD
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6447
Mailing Address - Country:US
Mailing Address - Phone:305-502-9427
Mailing Address - Fax:
Practice Address - Street 1:10740 WEST FLAGLER ST
Practice Address - Street 2:SUITE 12
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-4405
Practice Address - Country:US
Practice Address - Phone:305-800-2562
Practice Address - Fax:305-902-5655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy