# HEALTHDYNE PHARMACY CO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HealthDyne Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740363274
- **Authorized official:** PHILLIP P BISESI (SENIOR VICE PRESIDENT & SECRETARY)
- **Authorized official phone:** (863) 583-6248

## Contact information

- **Practice address:** 7472 S TUCSON WAY, CENTENNIAL, CO 80112-4452
- **Practice address phone:** (888) 479-2000
- **Mailing address:** 500 EAGLES LANDING DR, LAKELAND, FL 33810-2899
- **Mailing address phone:** (888) 479-2000
- **Mailing address fax:** (863) 686-5682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 370000050 | CO | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 05/13/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02459329 | — | CO |
| 01 | — | 0614708 | NCPDP | — |