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SAN JUDAS PHARMACY CORP NPI 1073919718


NPI Information

NPI: 1073919718
Provider Name: SAN JUDAS PHARMACY CORP

Doing Business As: SAN JUDAS PHARMACY CORP

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
2604 W 84TH ST
HIALEAH, FL
ZIP 33016
Phone: (305) 603-7145
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SAN JUDAS PHARMACY CORP is a specialty pharmacy pharmacy in Hialeah, FL. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. SAN JUDAS PHARMACY CORP NPI is 1073919718. The provider is registered as an organization entity type.
The provider Is Doing Business As San Judas Pharmacy Corp.

The provider's business location address is:

2604 W 84TH ST
HIALEAH, FL
ZIP 33016-703
Phone: (305) 603-7145
Fax: (786) 518-3496

The provider's authorized official is Puro Naranjo .
The authorized official title is President/secretary and has the following contact phone number (305) 603-7145.

The enumeration date for this NPI number is 11/7/2014 and was last updated on 11/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336S0011XPharmacySpecialty PharmacyPH28699FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12147350OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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