Alder Pharmacy

LBN: Alder Pharmacy Llc
Alder Pharmacy is an health care organization with primary practice located at 729 Ne 79Th St , Miami FL 33138-4711. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Alder Pharmacy Llc can be contacted via phone (305) 999-1469, or through Estevez-Gonzalez, Olaf via phone (305) 999-1469.

Contact Information

Primary practice address
729 Ne 79Th St Miami FL 33138-4711
Phone: (305) 999-1469
Fax: (305) 999-1527
Website:
Map and Directions
Authorized official contact:
Name: Estevez-Gonzalez, Olaf
Phone: (305) 999-1469

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH25356 Florida
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1336448182
LBN Legal business name Alder Pharmacy Llc
DBA Doing business as Alder Pharmacy
Authorized official Estevez-Gonzalez, Olaf
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2011
Last updated Mar 9th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336448182 NPPES
Other 2129596 PK
MEDICAID 003701600 PK

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