Provider Demographics
NPI:1063990521
Name:EASY COMFORT INC
Entity type:Organization
Organization Name:EASY COMFORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAJI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMUEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:954-803-5729
Mailing Address - Street 1:1711 W 38TH PL STE 1207
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7034
Mailing Address - Country:US
Mailing Address - Phone:786-431-1660
Mailing Address - Fax:
Practice Address - Street 1:1711 W 38TH PL STE 1207
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7034
Practice Address - Country:US
Practice Address - Phone:786-431-1660
Practice Address - Fax:844-692-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-06
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH315693336S0011X
3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL31569OtherPHARMACY