Organization
MANATEE PHARMACY SERVICES INC.
Active
Other names
MANATEE DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YULIYA KAZLOVA (P)
(941) 209-1234
Entity
Organization
Contact information
Practice address
1802 59TH ST W, BRADENTON, FL 34209-4630
(941) 209-1234
(941) 209-1177
Mailing address
1802 59TH ST W, BRADENTON, FL 34209-4630
(941) 209-1234
(941) 209-1177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
PH27278
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010739800
—
FL
01
—
2140901
PK
—
Enumeration date
03/11/2014
Last updated
06/06/2023
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