MEDICARE: PARKWOOD PHARMACY, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	1636	FL

General Provider Information

NPI Number	:	1376645713
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKWOOD PHARMACY, INC.

Provider Business Mailing Address
First Line	:	7920 CONGRESS ST
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-6713
Country	:	US
Telephone Number	:	727-849-2577
Fax Number	:	727-847-5024

Provider Business Practice Location Address
First Line	:	7920 CONGRESS ST
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-6713
Country	:	US
Telephone Number	:	727-849-2577
Fax Number	:	727-847-5024

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAMES F. VINCENT
Credential	:
Telephone Number	:	727-849-2577

Provider Enumeration Date	:	09/05/2006
Last Update Date	:	08/22/2020

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