Healthcare Provider Details
I. General information
NPI: 1114855178
Provider Name (Legal Business Name): BESTIE MEDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9501 US HIGHWAY 19 STE 206
PORT RICHEY FL
34668-4658
US
IV. Provider business mailing address
9501 US HIGHWAY 19 STE 206
PORT RICHEY FL
34668-4658
US
V. Phone/Fax
- Phone: 727-203-8873
- Fax:
- Phone: 727-203-8873
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HECTOR
D.
CRESPO RODRIGUEZ
Title or Position: OWNER/ MANAGER
Credential: PHARM D.
Phone: 787-639-2286