Provider Demographics
NPI:1124566120
Name:PHARMA BUDDIES CORP
Entity Type:Organization
Organization Name:PHARMA BUDDIES CORP
Other - Org Name:ROSEMONT SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NAGESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKHAMOORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-822-1121
Mailing Address - Street 1:1727 ORLANDO CENTRAL PKWY
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-5732
Mailing Address - Country:US
Mailing Address - Phone:877-592-7988
Mailing Address - Fax:800-787-0874
Practice Address - Street 1:1727 ORLANDO CENTRAL PKWY
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-5732
Practice Address - Country:US
Practice Address - Phone:877-592-7988
Practice Address - Fax:800-787-0874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-09
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167688OtherPK