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NPI Code Detail

MEDICARE: PINK BOW HEALTH LLC

MEDICARE: PINK BOW HEALTH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1841910494
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINK BOW HEALTH LLC
Provider Business Mailing Address
First Line : 19146 TIMBER REACH RD
Second Line :
City : TAMPA
State : FL
Zip : 33647-3022
Country : US
Telephone Number : 813-800-6337
Fax Number :
Provider Business Practice Location Address
First Line : 5110 N 40TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33610-5204
Country : US
Telephone Number : 813-800-6337
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : LAURYN AFRICA
Credential : PHARMD
Telephone Number : 813-260-0662
Provider Enumeration Date : 09/01/2022
Last Update Date : 09/02/2022

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Directions to “PINK BOW HEALTH LLC ” Practice Location

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