Organization
ALPHA-OMEGA PHARMACY
Active
Other names
Alpha-Omega Pharmacy, L.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HOLMES (OWNER)
(844) 557-0835
Entity
Organization
Contact information
Practice address
4625 E BAY DR STE 313, CLEARWATER, FL 33764-5747
(844) 557-0835
(800) 563-2710
Mailing address
4625 E BAY DR STE 313, CLEARWATER, FL 33764-5747
(844) 557-0835
(800) 563-2710
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26538
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008459100
—
FL
05
—
008459101
—
FL
01
—
2138070
PK
—
Enumeration date
12/03/2012
Last updated
03/31/2017
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