Organization
ELSA PHARMACY INC
Active
Other names
Elsa Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JULIO J MARTIN (PRESIDENT)
(305) 691-1969
Entity
Organization
Contact information
Practice address
1802 E 4TH AVE, HIALEAH, FL 33010-3115
(305) 691-1968
(305) 836-2772
Mailing address
1802 E 4TH AVE, HIALEAH, FL 33010-3115
(305) 691-1968
(305) 836-2772
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH416
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104286600
—
FL
01
—
2127909
PK
—
Enumeration date
11/18/2006
Last updated
07/16/2025
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