MEDICARE: AB SPECIALTY 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0004X	Compounding Pharmacy
3	3336S0011X	Specialty Pharmacy
4	3336C0003X	Community/Retail Pharmacy	PH22693	FL

General Provider Information

NPI Number	:	1871708735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AB SPECIALTY PHARMACY INC

Provider Business Mailing Address
First Line	:	2311 SEVEN SPRINGS BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-3913
Country	:	US
Telephone Number	:	727-375-9520
Fax Number	:	727-375-9552

Provider Business Practice Location Address
First Line	:	2311 SEVEN SPRINGS BLVD
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-3913
Country	:	US
Telephone Number	:	727-375-9520
Fax Number	:	727-375-9552

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. AMIE B PATEL
Credential	:
Telephone Number	:	813-390-3838

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	08/24/2015

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