Provider Demographics
NPI:1821071259
Name:SOSA, ARLEEN DE LAS MERCEDES (PHARMD)
Entity Type:Individual
Prefix:
First Name:ARLEEN
Middle Name:DE LAS MERCEDES
Last Name:SOSA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8030 W 14TH CT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33014-3324
Mailing Address - Country:US
Mailing Address - Phone:305-558-9523
Mailing Address - Fax:
Practice Address - Street 1:8030 W 14TH CT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33014-3324
Practice Address - Country:US
Practice Address - Phone:305-558-9523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS40493183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPS40493OtherBOARD OF PHARMACY LICENSE