Provider Demographics
NPI:1992738421
Name:P&P PHARMACY INC.
Entity type:Organization
Organization Name:P&P PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:BLANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-551-0760
Mailing Address - Street 1:8381 SW 40TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3353
Mailing Address - Country:US
Mailing Address - Phone:305-551-0760
Mailing Address - Fax:305-551-0306
Practice Address - Street 1:8381 SW 40TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3353
Practice Address - Country:US
Practice Address - Phone:305-551-0760
Practice Address - Fax:305-551-0306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH9301333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1016535OtherNABP
FL101710101Medicaid
FL101710101Medicaid
FL0895980001Medicare NSC