Provider Demographics
NPI:1033183447
Name:COMPREHENSIVE CONSULTANT SERVICES
Entity Type:Organization
Organization Name:COMPREHENSIVE CONSULTANT SERVICES
Other - Org Name:CENTER PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:727-344-3902
Mailing Address - Street 1:6499 38TH AVE N
Mailing Address - Street 2:STE A1
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33710-1656
Mailing Address - Country:US
Mailing Address - Phone:727-344-3902
Mailing Address - Fax:727-344-1356
Practice Address - Street 1:6499 38TH AVE N
Practice Address - Street 2:STE A1
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1656
Practice Address - Country:US
Practice Address - Phone:727-344-3902
Practice Address - Fax:727-344-1356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-14
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH0155433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1044394OtherNCPDP PROVIDER IDENTIFICATION NUMBER
FL1062221000Medicaid
FL1062221000Medicaid