Provider Demographics
NPI:1396744728
Name:CODINA, ARTURO ALBERTO (RPH)
Entity type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:ALBERTO
Last Name:CODINA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4603 SW 127TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-4637
Mailing Address - Country:US
Mailing Address - Phone:305-552-5929
Mailing Address - Fax:305-552-5929
Practice Address - Street 1:4603 SW 127TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-4637
Practice Address - Country:US
Practice Address - Phone:305-552-5929
Practice Address - Fax:305-552-5929
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13010183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist