Provider Demographics
NPI:1770542300
Name:RESPIRATORY PHARMACEUTICALS, INC.
Entity type:Organization
Organization Name:RESPIRATORY PHARMACEUTICALS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRODSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-857-7121
Mailing Address - Street 1:5501 COMMERCE DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-2976
Mailing Address - Country:US
Mailing Address - Phone:407-857-7121
Mailing Address - Fax:407-859-3827
Practice Address - Street 1:5501 COMMERCE DR
Practice Address - Street 2:SUITE 101
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-2976
Practice Address - Country:US
Practice Address - Phone:407-857-7121
Practice Address - Fax:407-859-3827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH11450333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP5335OtherBCBS FL PHARMACY NUMBER
0362770001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER