Ebenezer Clinical Pharmacy
LBN: Ebenezer Clinical Pharmacy Llc
Ebenezer Clinical Pharmacy is an health care organization with primary practice located at 4073 13Th St , Saint Cloud FL 34769. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Ebenezer Clinical Pharmacy Llc can be contacted via phone (407) 891-9280, or through Ihera, Tina via phone (407) 969-8130.
Contact Information
Primary practice address
4073 13Th St
Saint Cloud FL 34769
Phone: (407) 891-9280
Fax: (407) 891-9200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH30718 | Florida |
Profile Details
| NPI number | 1285161083 |
|---|---|
| LBN Legal business name | Ebenezer Clinical Pharmacy Llc |
| DBA Doing business as | Ebenezer Clinical Pharmacy |
| Authorized official | Ihera, Tina |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 11th, 2017 |
| Last updated | Apr 10th, 2023 - about 3 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 | 1285161083 | NPPES |
| Other | 2171741 | PK |
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