Skip Navigation Link. Please press insert + down arrow if jaws does not start reading the content.

Provider Information for 1053834267


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

SPNN LLC

Other Names:  
Doing Business As: 
BE WELL PHARMACY

Organization Subpart: NO

NPI: 1053834267
Last Updated: 2018-08-14
Certification Date:

Details

NameValue
NPI1053834267
Enumeration Date2017-07-19
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: SHADY BASTA
Title: OWNER
Phone: 7273725600
Mailing Address 5429 LITTLE RD
NEW PORT RICHEY, FL 34655-1107
United States

Phone: 727-372-5600 | Fax:727-372-5603
 
Primary Practice Address 5429 LITTLE RD
NEW PORT RICHEY, FL 34655
United States

Phone: 717-507-0888 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 3336C0003X - Pharmacy - Community/Retail PharmacyFLPH30846