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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