Organization
MATHEW MANAGEMENT II INC
Active
Other names
Bay Breeze RX
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE HOLMES (OWNER / PRESIDENT)
(727) 614-9933
Entity
Organization
Contact information
Practice address
3350 E BAY DR, LARGO, FL 33771-1925
(727) 614-9933
(727) 614-9934
Mailing address
3350 E BAY DR, LARGO, FL 33771-1925
(727) 614-9933
(727) 614-9934
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26256
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5711064
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/18/2012
Last updated
06/08/2023
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