Provider Demographics
NPI:1861626921
Name:CHITYS PHARMACY INC
Entity Type:Organization
Organization Name:CHITYS PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ACHONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-828-2076
Mailing Address - Street 1:3750 W 16TH AVE
Mailing Address - Street 2:100
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4654
Mailing Address - Country:US
Mailing Address - Phone:305-828-2076
Mailing Address - Fax:305-828-2087
Practice Address - Street 1:3750 W 16TH AVE
Practice Address - Street 2:100
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4654
Practice Address - Country:US
Practice Address - Phone:305-828-2076
Practice Address - Fax:305-828-2087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH24047333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherEIN