Provider Demographics
NPI:1558692228
Name:FUTURE HEALTH CARE LLC
Entity Type:Organization
Organization Name:FUTURE HEALTH CARE LLC
Other - Org Name:HUNTING CREEK POINTE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIEMAT
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-451-4665
Mailing Address - Street 1:8147 COPERNICUS WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1796
Mailing Address - Country:US
Mailing Address - Phone:727-375-9999
Mailing Address - Fax:727-375-5552
Practice Address - Street 1:8147 COPERNICUS WAY STE 101
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-1796
Practice Address - Country:US
Practice Address - Phone:727-375-9999
Practice Address - Fax:727-375-5552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 243653336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001854400Medicaid
1052909OtherNCPDP PROVIDER IDENTIFICATION NUMBER