Organization
BELAVINASH INCORPORATED
Active
Other names
NORTHDALE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AVINASH SHARMA RPH (PRESIDENT PHARMACIST)
(813) 817-3627
Entity
Organization
Contact information
Practice address
3851 NORTHDALE BLVD, TAMPA, FL 33624
(813) 264-6300
(813) 264-6336
Mailing address
3851 NORTHDALE BLVD, TAMPA, FL 33624-1861
(813) 264-6300
(813) 264-6336
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22293
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031832901
—
FL
01
—
2007715
PK
—
Enumeration date
10/12/2006
Last updated
07/17/2018
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