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Provider Information for 1194819508


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BILL'S PILLS INC

Other Names:  
Doing Business As: 
MEDICINE SHOPPE

Organization Subpart: NO

NPI: 1194819508
Last Updated: 2023-03-07
Certification Date:

Details

NameValue
NPI1194819508
Enumeration Date2006-10-03
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: BENJAMIN LEVENE
Title: President/Owner
Phone: 9415051095
Mailing Address 615 CROSS ST UNIT 1112
PUNTA GORDA, FL 33950-5551
United States

Phone: | Fax:
 
Primary Practice Address 615 CROSS ST UNIT 1112
PUNTA GORDA, FL 33950-5551
United States

Phone: 941-505-1095 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDFL103712900
MEDICAIDFL103712901
Other (non-Medicare)1077937Other ID Number-Commercial Number
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 333600000X - Pharmacy FLPH14031
Yes 3336C0003X - Pharmacy - Community/Retail Pharmacy