Provider Demographics
NPI:1750198826
Name:MAXIPHARMA LLC
Entity type:Organization
Organization Name:MAXIPHARMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:RAMOS RONDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-499-7406
Mailing Address - Street 1:10614 ASTORIA BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11369-2047
Mailing Address - Country:US
Mailing Address - Phone:929-424-3877
Mailing Address - Fax:929-424-3876
Practice Address - Street 1:10614 ASTORIA BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11369-2047
Practice Address - Country:US
Practice Address - Phone:929-424-3877
Practice Address - Fax:929-424-3876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy