Organization
LINCOURT PHARMACY CORP
Active
Parent organization
LINCOURT PHARMACY CORP
Other names
BAY AREA PHARMACY LTC, BAY AREA PHARMACY LTC - 03A
Organization subpart
Yes
Provider details
NPI number
Legal business name
LINCOURT PHARMACY CORP
Authorized official
STEPHEN O BANJOKO (CFO)
(813) 341-4000
Entity
Organization
Contact information
Practice address
501 S LINCOLN AVE STE 10, CLEARWATER, FL 33756-5901
(727) 479-3048
(727) 479-3047
Mailing address
PO BOX 17175, TAMPA, FL 33682-7175
(727) 479-3048
(727) 479-3047
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108648600
—
FL
Enumeration date
02/28/2019
Last updated
01/21/2026
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