Provider Demographics
NPI:1598542508
Name:BELL PHARMACY 002 LLC
Entity Type:Organization
Organization Name:BELL PHARMACY 002 LLC
Other - Org Name:BELL PHARMACY 002
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUNZO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:813-504-4430
Mailing Address - Street 1:805 E BLOOMINGDALE AVE # 302
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-8113
Mailing Address - Country:US
Mailing Address - Phone:813-803-3399
Mailing Address - Fax:813-803-3299
Practice Address - Street 1:8702 HUNTERS LAKE DR # 140
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2855
Practice Address - Country:US
Practice Address - Phone:813-803-3399
Practice Address - Fax:813-803-3299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-12
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy