Provider Demographics
NPI:1982922241
Name:APOLLO II SERVICES INC
Entity Type:Organization
Organization Name:APOLLO II SERVICES INC
Other - Org Name:APOLLO II SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDDY
Authorized Official - Middle Name:
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-624-1919
Mailing Address - Street 1:2134 TYLER ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-6717
Mailing Address - Country:US
Mailing Address - Phone:954-404-7951
Mailing Address - Fax:954-404-8623
Practice Address - Street 1:2134 TYLER ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33020-6717
Practice Address - Country:US
Practice Address - Phone:954-404-7951
Practice Address - Fax:954-404-8623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH246873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5700530OtherNCPDP PROVIDER IDENTIFICATION NUMBER