POPE SHENOUDA LLC
Medical Equipment Supplier Yellow Pages
Holiday, Florida
Provider NPI: 1891971198
Organization Information:Organization Name: POPE SHENOUDA LLC
Practice Location:
2228 US HIGHWAY 19 HOLIDAY, FL 34691 US
Tel: 727-934-1300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2228 US HIGHWAY 19 HOLIDAY, FL 34691 US
Tel: 727-934-1300 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336L0003X | Suppliers Pharmacy Long Term Care Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | FL | PH23208 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2010664 | 01 | |
032556200 | FL | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin