Provider Demographics
NPI:1619675691
Name:GOOD GUYS PHARMA LLC
Entity Type:Organization
Organization Name:GOOD GUYS PHARMA LLC
Other - Org Name:GOOD GUYS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:SAFIULLAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BABURI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:407-556-3831
Mailing Address - Street 1:4417 13TH ST # 548
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-6724
Mailing Address - Country:US
Mailing Address - Phone:407-556-3831
Mailing Address - Fax:321-805-4239
Practice Address - Street 1:3002 17TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6011
Practice Address - Country:US
Practice Address - Phone:407-556-3831
Practice Address - Fax:321-805-4239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy