| Pemhs, Inc | |
|
11254-58th St North Bldg D-pharmacy Pinellas Park FL 33782 | |
| (727) 545-6477 | |
| (727) 545-6472 |
| Full Name | Pemhs, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11254-58th St North, Pinellas Park, Florida |
| Authorized Official Name and Position | Andrea T. Mason (DIRECTOR OF PHARMACY) |
| Authorized Official Contact | 8778132619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pemhs, Inc 11254-58th St North Bldg D-pharmacy Pinellas Park FL 33782 Ph: (727) 545-6477 | Pemhs, Inc 11254-58th St North Bldg D-pharmacy Pinellas Park FL 33782 Ph: (727) 545-6477 |
| NPI Number | 1831322882 |
|---|---|
| Provider Enumeration Date | 08/25/2009 |
| Last Update Date | 08/25/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831322882 | NPI | - | NPPES |
| 1089879 | Other | NABP | |
| 0605ZZ101 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PH13594 (Florida) | Primary |
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