Provider Demographics
NPI:1821003468
Name:C&P ROMANOS PHARMACY INC
Entity Type:Organization
Organization Name:C&P ROMANOS PHARMACY INC
Other - Org Name:C&P ROMANOS PHARMACY,INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:R.PH.
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-789-3935
Mailing Address - Street 1:9835 W SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4005
Mailing Address - Country:US
Mailing Address - Phone:954-752-0050
Mailing Address - Fax:954-752-5667
Practice Address - Street 1:9835 W SAMPLE RD
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4005
Practice Address - Country:US
Practice Address - Phone:954-752-0050
Practice Address - Fax:954-752-5667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH261643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1027095OtherNCPDP PROVIDER IDENTIFICATION NUMBER
FL005581100Medicaid