Provider Demographics
NPI:1225578818
Name:PASTEUR MEDICAL MANAGEMENT, LLC
Entity type:Organization
Organization Name:PASTEUR MEDICAL MANAGEMENT, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP PHARMACY OPERATIONS & PART D
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-448-8100
Mailing Address - Street 1:5900 NW 183RD ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33015-6025
Mailing Address - Country:US
Mailing Address - Phone:305-722-8565
Mailing Address - Fax:305-722-8561
Practice Address - Street 1:5900 NW 183RD ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33015-6025
Practice Address - Country:US
Practice Address - Phone:305-722-8565
Practice Address - Fax:786-722-8561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL607581332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site