Provider Demographics
NPI:1225870199
Name:RAINBOW PHARMACY II, LLC
Entity type:Organization
Organization Name:RAINBOW PHARMACY II, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-515-4129
Mailing Address - Street 1:257 GIRALDA AVE.
Mailing Address - Street 2:GROUND FLOOR, UNIT 3B
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:305-749-7000
Mailing Address - Fax:305-454-7000
Practice Address - Street 1:257 GIRALDA AVE.
Practice Address - Street 2:GROUND FLOOR, UNIT 3B
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:305-749-7000
Practice Address - Fax:305-454-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy