Healthcare Provider Details

I. General information

NPI: 1811216005
Provider Name (Legal Business Name): HP PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8730 49TH ST. N SUITE 1
PINELLAS PARK FL
33782
US

IV. Provider business mailing address

8730 49TH ST. N SUITE 1
PINELLAS PARK FL
33782
US

V. Phone/Fax

Practice location:
  • Phone: 727-954-8857
  • Fax: 727-954-8858
Mailing address:
  • Phone: 727-954-8857
  • Fax: 727-954-8858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH24654
License Number StateFL

VIII. Authorized Official

Name: HONG TRUONG
Title or Position: PHARMACY MANAGER
Credential:
Phone: 727-954-8857