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Organization
HEALTHDYNE PHARMACY CO, LLC
Active
Organization
HEALTHDYNE PHARMACY CO, LLC
Active
Other names
HealthDyne Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP P BISESI (SENIOR VICE PRESIDENT & SECRETARY)
(863) 583-6248
Entity
Organization
Contact information
Practice address
7472 S TUCSON WAY, CENTENNIAL, CO 80112-4452
(888) 479-2000
Mailing address
500 EAGLES LANDING DR, LAKELAND, FL 33810-2899
(888) 479-2000
(863) 686-5682
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
370000050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02459329
—
CO
01
—
0614708
NCPDP
—
Enumeration date
10/20/2006
Last updated
05/13/2025
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