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Provider Information for 1790029353


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ALAFIA PHARMACY CORP

Organization Subpart: NO

NPI: 1790029353
Last Updated: 2012-11-20
Certification Date:

Details

NameValue
NPI1790029353
Enumeration Date2012-11-20
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: Mr. PEDRO PABLO ROSADO
Title: President
Phone: 9177368927
Mailing Address 4704 3RD AVE
BROOKLYN, NY 11220-1045
United States

Phone: 917-736-8927 | Fax:
 
Primary Practice Address 4704 3RD AVE
BROOKLYN, NY 11220-1045
United States

Phone: 917-736-8927 | Fax:305-691-6682
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyNY