Provider Demographics
NPI:1164434692
Name:BI-WISE DRUGS
Entity Type:Organization
Organization Name:BI-WISE DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:V
Authorized Official - Last Name:CORBIN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:727-725-3830
Mailing Address - Street 1:3101 STATE ROAD 580
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-4923
Mailing Address - Country:US
Mailing Address - Phone:727-726-2277
Mailing Address - Fax:727-726-3329
Practice Address - Street 1:3101 STATE ROAD 580
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-4923
Practice Address - Country:US
Practice Address - Phone:727-726-2277
Practice Address - Fax:727-726-3329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH7133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty