Healthcare Provider Details

I. General information

NPI: 1316318637
Provider Name (Legal Business Name): A1ABILITY PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 STINSON WAY STE 301
WEST PALM BEACH FL
33411-3741
US

IV. Provider business mailing address

999 STINSON WAY SUITE 301
WEST PALM BEACH FL
33411-3741
US

V. Phone/Fax

Practice location:
  • Phone: 561-753-6040
  • Fax: 561-753-6042
Mailing address:
  • Phone: 561-753-6040
  • Fax: 561-753-6042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH29450
License Number StateFL

VIII. Authorized Official

Name: SAMIR KOLTA
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 561-753-6040