Provider Demographics
NPI:1013665306
Name:SMART A&A PHARMACY INC
Entity Type:Organization
Organization Name:SMART A&A PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARISLEYDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVAREZ ENRIQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-640-5638
Mailing Address - Street 1:541 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-4549
Mailing Address - Country:US
Mailing Address - Phone:305-640-5638
Mailing Address - Fax:786-703-5942
Practice Address - Street 1:541 E 9TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-4549
Practice Address - Country:US
Practice Address - Phone:305-640-5638
Practice Address - Fax:786-703-5942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy