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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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