MEDICARE: BILL'S PILLS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	PH14031	FL
2	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1077937	OTHER	OTHER ID NUMBER-COMMERCIAL NUMBER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194819508
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILL'S PILLS INC

Provider Business Mailing Address
First Line	:	615 CROSS ST UNIT 1112
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-5551
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	615 CROSS ST UNIT 1112
Second Line	:
City	:	PUNTA GORDA
State	:	FL
Zip	:	33950-5551
Country	:	US
Telephone Number	:	941-505-1095
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	BENJAMIN LEVENE
Credential	:
Telephone Number	:	941-505-1095

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/07/2023

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Directions to “BILL'S PILLS INC ” Practice Location

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