Bradenton Hometown Pharmacy

LBN: Manasota Pharmacy Services Llc
Bradenton Hometown Pharmacy is an health care organization with primary practice located at 1407 57Th Ave W , Bradenton FL 34207-3646. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Manasota Pharmacy Services Llc can be contacted via phone (941) 727-9120, or through Reisky, Marty via phone (941) 727-9120.

Contact Information

Primary practice address
1407 57Th Ave W Bradenton FL 34207-3646
Fax: (941) 727-9122
Website:
Authorized official contact:
Name: Reisky, Marty

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH25411 Florida
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1295933299
LBN Legal business name Manasota Pharmacy Services Llc
DBA Doing business as Bradenton Hometown Pharmacy
Authorized official Reisky, Marty
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2007
Last updated Mar 24th, 2022 - about 2 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 1295933299 NPPES
Other 2132643 PK
MEDICAID 003702200 PK

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