Peter'S Pharmacy
LBN: Peter Botros Pharmacy Inc
Peter'S Pharmacy is an health care organization with primary practice located at 121 Victoria Commons Blvd Suite #102, Deland FL 32724. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Peter Botros Pharmacy Inc can be contacted via phone (386) 734-8477, or through Kamel, Michael Shalby via phone (386) 734-8477.
Contact Information
Primary practice address
121 Victoria Commons Blvd Suite #102
Deland FL 32724
Phone: (386) 734-8477
Fax: (386) 734-8488
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH23396 | Florida |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1982864831 |
|---|---|
| LBN Legal business name | Peter Botros Pharmacy Inc |
| DBA Doing business as | Peter'S Pharmacy |
| Authorized official | Kamel, Michael Shalby |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Aug 2nd, 2019 - about 5 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 | 1982864831 | NPPES |
| Other | 2128204 | PK | |
| MEDICAID | 000362700 | PK |
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