| Organization Name: | PASTEUR PHARMACY IV, LLC |
| NPI Number: | 1306119219 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERARDO NECUZE (PRESIDENT/CEO) |
| Mailing Address: | 3320 W 84th St Hialeah Gardens |
| State: | FL US |
| Postal Code: | 330184921 |
| Phone Number: | 7862485380 |
| Fax Number: | 7862485606 |
| NPI Enumeration Date: | 02/23/2012 |
| NPI Last Update Date: | 06/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3336C0002X |
| License Number: | PH26224 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | Clinic Pharmacy |
| Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |