Provider Demographics
NPI:1033483169
Name:CALAN PHARMACY & DISCOUNT SERVICE, LLC
Entity type:Organization
Organization Name:CALAN PHARMACY & DISCOUNT SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTURO
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:OMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-643-2001
Mailing Address - Street 1:1879 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1939
Mailing Address - Country:US
Mailing Address - Phone:305-643-2001
Mailing Address - Fax:305-643-2003
Practice Address - Street 1:1879 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1939
Practice Address - Country:US
Practice Address - Phone:305-643-2001
Practice Address - Fax:305-643-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH257703336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy