Healthcare Provider Details

I. General information

NPI: 1346154614
Provider Name (Legal Business Name): PHARMA 4.0 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 COURTNEY LAKES CIR APT 116
WEST PALM BEACH FL
33401-2366
US

IV. Provider business mailing address

31255 TOOTSIE RD
BUSH LA
70431-4027
US

V. Phone/Fax

Practice location:
  • Phone: 501-529-1684
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARIA VILLARRAZA
Title or Position: MGR
Credential:
Phone: 501-529-1684