Organization
PROMISE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIPTI PATEL (OWNER)
(727) 772-0500
Entity
Organization
Contact information
Practice address
31818 US 19 N, PALM HARBOR, FL 34684-3713
(727) 772-0500
(727) 772-0511
Mailing address
31818 US 19 S, PALM HARBOR, FL 34684
(727) 772-0500
(727) 772-0511
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22007
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031568100
—
FL
01
—
2006789
PK
—
Enumeration date
08/18/2006
Last updated
03/17/2018
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