Medsource Pharmacy

LBN: St. Verena Llc.
Medsource Pharmacy is an health care organization with primary practice located at 13910 Fivay Rd Suite 3, Hudson FL 34667-7154. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. St. Verena Llc. can be contacted via phone (813) 920-7063, or through Rizkalla, Baher via phone (813) 464-0563.

Contact Information

Primary practice address
13910 Fivay Rd Suite 3 Hudson FL 34667-7154
Phone: (813) 920-7063
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rizkalla, Baher
Phone: (813) 464-0563

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH27506 Florida

Profile Details

NPI number 1245658236
LBN Legal business name St. Verena Llc.
DBA Doing business as Medsource Pharmacy
Authorized official Rizkalla, Baher
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2014
Last updated Apr 7th, 2014 - about 10 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 1245658236 NPPES
Other 2145050 PK

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