Healthcare Provider Details

I. General information

NPI: 1477076016
Provider Name (Legal Business Name): NP PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 09/11/2021
Certification Date: 09/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7644 PARK BLVD N
PINELLAS PARK FL
33781-3755
US

IV. Provider business mailing address

7644 PARK BLVD N
PINELLAS PARK FL
33781-3755
US

V. Phone/Fax

Practice location:
  • Phone: 727-685-0268
  • Fax: 727-685-0268
Mailing address:
  • Phone: 727-685-0268
  • Fax: 727-685-0268

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPH30849
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: THINH NGUYEN
Title or Position: OWNER
Credential:
Phone: 727-685-0268