<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
Phone: (844) 557-0835
Fax: (800) 563-2710
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770828741 | NPPES |
| Other | 2138070 | PK | |
| MEDICAID | 008459101 | PK | |
| MEDICAID | 008459100 | PK |
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