Provider Demographics
NPI:1922400365
Name:M & P PHARMACY
Entity Type:Organization
Organization Name:M & P PHARMACY
Other - Org Name:M & P PHARMACY, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERNADEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-558-9941
Mailing Address - Street 1:2570 W 84TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5702
Mailing Address - Country:US
Mailing Address - Phone:305-558-9941
Mailing Address - Fax:305-558-9942
Practice Address - Street 1:2570 W 84TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5702
Practice Address - Country:US
Practice Address - Phone:305-558-9941
Practice Address - Fax:305-558-9942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 285583336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy