Provider Demographics
NPI:1780795278
Name:FARMACIA CALI
Entity type:Organization
Organization Name:FARMACIA CALI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-558-5055
Mailing Address - Street 1:1924 W 60TH ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7598
Mailing Address - Country:US
Mailing Address - Phone:305-558-5055
Mailing Address - Fax:305-558-1926
Practice Address - Street 1:1924 W 60TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7598
Practice Address - Country:US
Practice Address - Phone:305-558-5055
Practice Address - Fax:305-558-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH77223336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1042186OtherNABP
FL1266910001Medicare ID - Type Unspecified