=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336314301
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PAR PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2008
-----------------------------------------------------
Last Update Date | 03/02/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8239 SW 40TH ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33155-3334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-227-7900
-----------------------------------------------------
Fax | 305-227-7907
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8239 SW 40TH ST
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33155-3334
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | YOSVANY MOLINA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-227-7900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PH23342
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------