Provider Demographics
NPI:1235692740
Name:BELLEAIR PHARMACY LLC DBA BELLEAIR PHARMACY
Entity Type:Organization
Organization Name:BELLEAIR PHARMACY LLC DBA BELLEAIR PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NORHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDEL MESIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-485-4941
Mailing Address - Street 1:2864 W BAY DR
Mailing Address - Street 2:
Mailing Address - City:BELLEAIR BLUFFS
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2620
Mailing Address - Country:US
Mailing Address - Phone:917-485-4941
Mailing Address - Fax:727-216-6995
Practice Address - Street 1:2864 W BAY DR
Practice Address - Street 2:
Practice Address - City:BELLEAIR BLUFFS
Practice Address - State:FL
Practice Address - Zip Code:33770-2620
Practice Address - Country:US
Practice Address - Phone:917-485-4941
Practice Address - Fax:727-216-6995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy