Provider Demographics
NPI:1851327712
Name:IZZ AND SONS INC
Entity Type:Organization
Organization Name:IZZ AND SONS INC
Other - Org Name:ROBERT'S DRUG STORE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:AIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-545-0533
Mailing Address - Street 1:590 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1326
Mailing Address - Country:US
Mailing Address - Phone:305-545-0533
Mailing Address - Fax:305-545-5071
Practice Address - Street 1:590 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1326
Practice Address - Country:US
Practice Address - Phone:305-545-0533
Practice Address - Fax:305-545-5071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
FLPH158953336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106388000Medicaid
FL106388001Medicaid
1083017OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1083017OtherNCPDP PROVIDER IDENTIFICATION NUMBER