Provider Demographics
NPI:1962833038
Name:D & Y PHARMACY CORP
Entity Type:Organization
Organization Name:D & Y PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZUGELIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-431-5905
Mailing Address - Street 1:3715 W 16TH AVE
Mailing Address - Street 2:BAY 15
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7071
Mailing Address - Country:US
Mailing Address - Phone:786-431-5905
Mailing Address - Fax:786-431-5908
Practice Address - Street 1:3715 W 16TH AVE
Practice Address - Street 2:BAY 15
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7071
Practice Address - Country:US
Practice Address - Phone:786-431-5905
Practice Address - Fax:786-431-5908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-27
Last Update Date:2013-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH257523336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy