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Organization

SPNN LLC

Active
Other names
BE WELL PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
SHADY BASTA (OWNER)
(727) 372-5600
Entity
Organization

Contact information

Practice address
5429 LITTLE RD, NEW PORT RICHEY, FL 34655
(717) 507-0888
Mailing address
5429 LITTLE RD, NEW PORT RICHEY, FL 34655-1107
(727) 372-5600
(727) 372-5603

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH30846
FL

Other

Enumeration date
07/19/2017
Last updated
08/14/2018
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