Organization
LINCOURT PHARMACY CORP
Active
Organization
LINCOURT PHARMACY CORP
Active
Other names
BAY AREA PHARMACY, BAY AREA PHARMACY # 03
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN BANJOKO (CFO)
(813) 341-4000
Entity
Organization
Contact information
Practice address
501 S LINCOLN AVE, STE 10, CLEARWATER, FL 33756-5945
(727) 447-4248
(727) 445-9604
Mailing address
PO BOX 17175, TAMPA, FL 33682-7175
(727) 447-4248
(727) 445-9604
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH8725
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102009900
—
FL
01
—
2003908
PK
—
Enumeration date
08/20/2006
Last updated
01/21/2026
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