Provider Demographics
NPI:1548669120
Name:FORDS PHARMACY
Entity type:Organization
Organization Name:FORDS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LONA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-592-8353
Mailing Address - Street 1:8280 NW 27TH ST STE 503
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33122-1905
Mailing Address - Country:US
Mailing Address - Phone:305-592-8353
Mailing Address - Fax:305-436-1137
Practice Address - Street 1:8280 NW 27TH ST STE 503
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1905
Practice Address - Country:US
Practice Address - Phone:305-592-8353
Practice Address - Fax:305-436-1137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy