Provider Demographics
NPI:1154605434
Name:ORMAZA, ALBERT ALEXIS (PHARM D)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:ALEXIS
Last Name:ORMAZA
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10700 W FLAGLER ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1422
Mailing Address - Country:US
Mailing Address - Phone:305-424-1140
Mailing Address - Fax:
Practice Address - Street 1:10700 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1422
Practice Address - Country:US
Practice Address - Phone:305-424-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46709183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist