Provider Demographics
NPI:1538422043
Name:ONOTOONE PHARMACY INC
Entity type:Organization
Organization Name:ONOTOONE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:YURINIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOULANDIER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:786-452-1167
Mailing Address - Street 1:4705 SW 8TH ST
Mailing Address - Street 2:SUITE # 1
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2546
Mailing Address - Country:US
Mailing Address - Phone:786-452-1167
Mailing Address - Fax:786-518-3934
Practice Address - Street 1:4705 SW 8TH ST
Practice Address - Street 2:SUITE # 1
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2546
Practice Address - Country:US
Practice Address - Phone:786-452-1167
Practice Address - Fax:786-518-3934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty