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NPI Code Detail

MEDICARE: S.A.S.B. INC

MEDICARE: S.A.S.B. INC
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
1333600000XPharmacy1045738FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11045738OTHERFLPHARMACY NABP NUMBER

General Provider Information

NPI Number : 1912328048
Entity Type Code : Organization
Provider Name (Legal Business Name) : S.A.S.B. INC
Provider Business Mailing Address
First Line : 203 SW PARK ST
Second Line :
City : OKEECHOBEE
State : FL
Zip : 34972-4160
Country : US
Telephone Number : 863-763-5100
Fax Number : 863-763-7550
Provider Business Practice Location Address
First Line : 203 SW PARK ST
Second Line :
City : OKEECHOBEE
State : FL
Zip : 34972-4160
Country : US
Telephone Number : 863-763-5100
Fax Number : 863-763-7550
Authorized Official
Title or Position : OWNER
Name : STEVEN D NELSON
Credential : PHARMACIST
Telephone Number : 863-763-5100
Provider Enumeration Date : 12/16/2013
Last Update Date : 12/16/2013

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1093712051 — MR. STEVEN DAVID NELSON RPH / CPH
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1316028053 — S A S B INC
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1225479579 — MRS. ANDREA MICHELLE NELSON
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1720930894 — BROOKE EVELYN HAZY
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Directions to “S.A.S.B. INC ” Practice Location

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