Provider Demographics
NPI:1740557461
Name:MAYAR PHARMACY, INC
Entity Type:Organization
Organization Name:MAYAR PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MADELIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-251-3635
Mailing Address - Street 1:12910 SW 133RD CT
Mailing Address - Street 2:SUITE A
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6584
Mailing Address - Country:US
Mailing Address - Phone:305-251-3635
Mailing Address - Fax:305-251-3536
Practice Address - Street 1:12910 SW 133RD CT
Practice Address - Street 2:SUITE A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6584
Practice Address - Country:US
Practice Address - Phone:305-251-3635
Practice Address - Fax:305-251-3536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH257863336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy