<Unavail>

LBN: Alpha-Omega Pharmacy
<Unavail> is an health care organization with primary practice located at 4625 E Bay Dr Ste 313 , Clearwater FL 33764-5747. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Alpha-Omega Pharmacy can be contacted via phone (844) 557-0835, or through Holmes, Bryan via phone (844) 557-0835.

Contact Information

Primary practice address
4625 E Bay Dr Ste 313 Clearwater FL 33764-5747
Fax: (800) 563-2710
Website:
Authorized official contact:
Name: Holmes, Bryan

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26538 Florida

Profile Details

NPI number 1770828741
LBN Legal business name Alpha-Omega Pharmacy
DBA Doing business as <Unavail>
Authorized official Holmes, Bryan
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2012
Last updated Mar 31st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770828741 NPPES
Other 2138070 PK
MEDICAID 008459101 PK
MEDICAID 008459100 PK

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