Provider Demographics
NPI:1144948035
Name:YAI PHARMACY LLC
Entity type:Organization
Organization Name:YAI PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST DEPARTMENT MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YAISEL
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTANA SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-222-5253
Mailing Address - Street 1:5958 W 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-6814
Mailing Address - Country:US
Mailing Address - Phone:305-364-5912
Mailing Address - Fax:
Practice Address - Street 1:5958 W 16TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-6814
Practice Address - Country:US
Practice Address - Phone:305-364-5912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy