Organization
CEDARS MEDICAL GROUP LLC
Active
Other names
Bay Scripts Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN DEBIEN (MANAGER)
(813) 475-5906
Entity
Organization
Contact information
Practice address
11621 SHELDON RD, TAMPA, FL 33626-4306
(813) 475-5906
(813) 475-5907
Mailing address
11621 SHELDON RD, TAMPA, FL 33626-4306
(407) 802-7778
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
24821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5701568
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/07/2010
Last updated
04/02/2012
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