Organization
CEDARS MEDICAL GROUP LLC
Active
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
Update your record
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