Provider Demographics
NPI:1831429786
Name:JA RAMBEAU INTERNATIONAL PHARMACEUTICAL GROUP
Entity type:Organization
Organization Name:JA RAMBEAU INTERNATIONAL PHARMACEUTICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:JAFRI
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:RAMBEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:954-295-8310
Mailing Address - Street 1:16706 SW 36TH CT
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33027-4554
Mailing Address - Country:US
Mailing Address - Phone:954-295-8310
Mailing Address - Fax:305-953-8547
Practice Address - Street 1:1240B NW 119TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33167-3232
Practice Address - Country:US
Practice Address - Phone:305-953-8544
Practice Address - Fax:305-953-8547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-28
Last Update Date:2009-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS339721835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapyGroup - Single Specialty