Healthcare Provider Details

I. General information

NPI: 1942067590
Provider Name (Legal Business Name): OAK STREET PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2024
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5398 SCHOOL RD
NEW PORT RICHEY FL
34652-4318
US

IV. Provider business mailing address

5398 SCHOOL RD
NEW PORT RICHEY FL
34652-4318
US

V. Phone/Fax

Practice location:
  • Phone: 727-877-0019
  • Fax:
Mailing address:
  • Phone: 727-877-0019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HEMAL DUBALL
Title or Position: OWNER
Credential:
Phone: 813-967-3810