Healthcare Provider Details

I. General information

NPI: 1356679906
Provider Name (Legal Business Name): A TO Z PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2009
Last Update Date: 11/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9039 LITTLE RD
NEW PORT RICHEY FL
34654-4221
US

IV. Provider business mailing address

9226 ESTRADA PL
NEW PORT RICHEY FL
34655-1750
US

V. Phone/Fax

Practice location:
  • Phone: 352-362-1499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH24329
License Number StateFL

VIII. Authorized Official

Name: PRABHJOT GILL
Title or Position: MANAGER
Credential:
Phone: 352-362-1499