Organization
HYGEIA HOLDINGS LLC
Active
Organization
HYGEIA HOLDINGS LLC
Active
Other names
THE MEDICINE SHOPPE PHARMACY #1850
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINAS G LIRISTIS PHARM.D (CEO/PHARMACIST)
(727) 501-0188
Entity
Organization
Contact information
Practice address
1555 E BAY DR, UNIT K, LARGO, FL 33771-1005
(727) 501-0188
(727) 501-0185
Mailing address
1555 E BAY DR, UNIT K, LARGO, FL 33771-1005
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21145
FL
3336L0003X
Long Term Care Pharmacy
PH21145
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028418100
—
FL
01
—
028418101
MEDICAID DME
FL
01
—
1009643
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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