Provider Demographics
NPI:1376638494
Name:PARKWOOD PHARMACY, INC.
Entity Type:Organization
Organization Name:PARKWOOD PHARMACY, INC.
Other - Org Name:PARKWOOD MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:VINCENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-849-2577
Mailing Address - Street 1:P.O. BOX 1029
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34656
Mailing Address - Country:US
Mailing Address - Phone:727-849-2577
Mailing Address - Fax:727-847-5024
Practice Address - Street 1:7920 CONGRESS STREET
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-6713
Practice Address - Country:US
Practice Address - Phone:727-849-2577
Practice Address - Fax:727-847-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1636332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies