Organization
HEALTHDYNE PHARMACY CO, LLC
Active
Other names
HealthDyne Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP P. BISESI (SENIOR VICE PRESIDENT & SECRETARY)
(863) 583-6248
Entity
Organization
Contact information
Practice address
7472 S TUCSON WAY STE 100-B, CENTENNIAL, CO 80112-4452
(888) 479-2000
Mailing address
500 EAGLES LANDING DR, LAKELAND, FL 33810-2899
(888) 479-2000
(863) 656-5682
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
05/13/2025
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