Organization
ST HOPE HEALTHCARE, LLC
Active
Organization
ST HOPE HEALTHCARE, LLC
Active
Other names
St Hope Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS ROSA (MMGR)
(727) 224-1056
Entity
Organization
Contact information
Practice address
3501 CORTEZ RD W STE 901, BRADENTON, FL 34210-3104
(727) 224-1056
Mailing address
6261 15TH ST S, ST PETERSBURG, FL 33705-5637
(727) 224-1056
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH28521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2150567
PK
—
Enumeration date
03/10/2015
Last updated
03/10/2015
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