Organization
IBIS HEALTHCARE INC
Active
Other names
Ibis Pharmacy, Gracepoint Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOE LALLANILLA (COO)
(813) 239-8545
Entity
Organization
Contact information
Practice address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8545
Mailing address
5707 N 22ND ST, TAMPA, FL 33610-4350
(813) 239-8545
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
04/08/2026
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