Provider Demographics
NPI:1245794502
Name:BILGIN INC
Entity Type:Organization
Organization Name:BILGIN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:LUEDTKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-772-8866
Mailing Address - Street 1:1501 VISCAYA PKWY STE 2
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-6226
Mailing Address - Country:US
Mailing Address - Phone:239-772-8866
Mailing Address - Fax:239-772-7117
Practice Address - Street 1:1501 VISCAYA PKWY
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-6226
Practice Address - Country:US
Practice Address - Phone:239-772-8866
Practice Address - Fax:239-772-7117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL109745800Medicaid