Organization
HEALTHDYNE PHARMACY FL, LLC
Active
Other names
WELLDYNERX-FL, 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
500 EAGLES LANDING DR, LAKELAND, FL 33810-2899
(888) 479-2000
(863) 686-5682
Mailing address
500 EAGLES LANDING DR, LAKELAND, FL 33810-2899
(888) 479-2000
(863) 686-4710
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PH23389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001055000
—
FL
05
—
0205365
—
IA
05
—
032852900
—
MD
05
—
100080584
—
WI
05
—
1017697
—
VT
05
—
1024462370001
—
PA
05
—
1093974982
—
ID
05
—
1093974982
—
MN
05
—
1093974982
—
WA
05
—
20029370A
—
OK
05
—
200636740A
—
KS
05
—
200972230A
—
IN
01
—
2011832
PK
—
05
—
20200323899433
—
MI
05
—
9000170493
—
CO
Enumeration date
06/05/2008
Last updated
08/12/2025
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