Provider Demographics
NPI:1609101310
Name:MY MASTER'S WORLDWIDE VENTURES INC
Entity Type:Organization
Organization Name:MY MASTER'S WORLDWIDE VENTURES INC
Other - Org Name:MY MASTER'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:CHUKWUEMEKA
Authorized Official - Last Name:ABALIHI
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELOR OF PHARMACY
Authorized Official - Phone:813-728-4443
Mailing Address - Street 1:5208 E FOWLER AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1906
Mailing Address - Country:US
Mailing Address - Phone:813-443-5340
Mailing Address - Fax:813-443-5341
Practice Address - Street 1:5208 E FOWLER AVE
Practice Address - Street 2:SUITE A
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33617-1906
Practice Address - Country:US
Practice Address - Phone:813-443-5340
Practice Address - Fax:813-443-5341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH242883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy