=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740528686
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AP PHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/28/2013
-----------------------------------------------------
Last Update Date | 02/28/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5757 SW 8TH ST
-----------------------------------------------------
City | WEST MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33144-5060
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-536-9521
-----------------------------------------------------
Fax | 786-558-8147
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5757 SW 8TH ST
-----------------------------------------------------
City | WEST MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33144-5060
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-536-9521
-----------------------------------------------------
Fax | 786-558-8147
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ANDRES PEREZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 786-536-9521
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PH26451
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------