Provider Demographics
NPI:1508316043
Name:SBC HEALTH INC
Entity Type:Organization
Organization Name:SBC HEALTH INC
Other - Org Name:LERINS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ST EUCHERIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-666-3334
Mailing Address - Street 1:3907 E HILLSBOROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33610-4541
Mailing Address - Country:US
Mailing Address - Phone:321-666-3334
Mailing Address - Fax:
Practice Address - Street 1:8166 JAMESTOWN DR
Practice Address - Street 2:CARLTON ARMS
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33884-4813
Practice Address - Country:US
Practice Address - Phone:321-666-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3336C0003X3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3336C0003XOtherPHARMACY