Provider Demographics
NPI:1609851880
Name:FAITH PHARMACY, INC
Entity Type:Organization
Organization Name:FAITH PHARMACY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:OKPALEKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:941-729-2021
Mailing Address - Street 1:575 10TH ST E
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4013
Mailing Address - Country:US
Mailing Address - Phone:941-729-2021
Mailing Address - Fax:941-729-2123
Practice Address - Street 1:575 10TH ST E
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4013
Practice Address - Country:US
Practice Address - Phone:941-729-2021
Practice Address - Fax:941-729-2123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-12
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH21445333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy