Organization
MATHEW MANAGEMENT INC
Active
Other names
BAY LIFE PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ALBRECHT (AUTHORIZED AGENT)
(727) 560-7116
Entity
Organization
Contact information
Practice address
4000 PARK ST N, ST PETERSBURG, FL 33709-4034
(727) 216-6374
Mailing address
4000 PARK ST N, ST PETERSBURG, FL 33709-4034
(727) 216-6374
(727) 400-6948
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25690
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004351900
—
FL
01
—
2131524
PK
—
Enumeration date
08/16/2011
Last updated
09/13/2022
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