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NPI Code Detail

MEDICARE: BELL PHARMACY 009 LLC

MEDICARE: BELL PHARMACY 009 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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1902751001
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELL PHARMACY 009 LLC
Provider Business Mailing Address
First Line : 915 CHESTNUT ST STE B
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-5643
Country : US
Telephone Number : 407-760-7351
Fax Number :
Provider Business Practice Location Address
First Line : 915 CHESTNUT ST STE B
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-5643
Country : US
Telephone Number : 407-760-7351
Fax Number :
Authorized Official
Title or Position : ADMIN
Name : JACOB VANDEVENTER
Credential : PHARMD
Telephone Number : 407-760-7351
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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