Provider Demographics
NPI:1962806729
Name:MERSY PHARMACY CORP
Entity type:Organization
Organization Name:MERSY PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACY TECHNICIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:YUSLEIVY
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES RAMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-360-4059
Mailing Address - Street 1:2900 W 12TH AVE
Mailing Address - Street 2:SUITE #25
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4860
Mailing Address - Country:US
Mailing Address - Phone:786-360-4059
Mailing Address - Fax:786-953-8545
Practice Address - Street 1:2900 W 12TH AVE
Practice Address - Street 2:SUITE #25
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4860
Practice Address - Country:US
Practice Address - Phone:786-360-4059
Practice Address - Fax:786-953-8545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH28648333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy