Provider Demographics
NPI:1972938520
Name:WESTLAND PHARMACY INC
Entity Type:Organization
Organization Name:WESTLAND PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISETT
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-615-8689
Mailing Address - Street 1:12963 W OKEECHOBEE RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-6055
Mailing Address - Country:US
Mailing Address - Phone:786-615-8689
Mailing Address - Fax:786-615-8692
Practice Address - Street 1:12963 W OKEECHOBEE RD
Practice Address - Street 2:SUITE 5
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-6055
Practice Address - Country:US
Practice Address - Phone:786-615-8689
Practice Address - Fax:786-615-8692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-13
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH270643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy