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
Phone: (941) 727-9120
Fax: (941) 727-9122
Website:
Health care specialties
| Specialty | Code | License # | 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 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 | 1295933299 | NPPES |
| Other | 2132643 | PK | |
| MEDICAID | 003702200 | PK |
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