Provider Demographics
NPI:1235574013
Name:SBCARE HEALTH NETWORK
Entity Type:Organization
Organization Name:SBCARE HEALTH NETWORK
Other - Org Name:CORNERSTONE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BOSEDE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLORUNLOGBON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-299-5377
Mailing Address - Street 1:10007 SW 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-4786
Mailing Address - Country:US
Mailing Address - Phone:352-484-1335
Mailing Address - Fax:
Practice Address - Street 1:2509 NE 14TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-4801
Practice Address - Country:US
Practice Address - Phone:352-484-1335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH268163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2138846OtherPK