Provider Demographics
NPI:1639709454
Name:MEDSTOP, LLC
Entity Type:Organization
Organization Name:MEDSTOP, LLC
Other - Org Name:MEDSTOP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARSH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-636-6115
Mailing Address - Street 1:2095 W FAIRBANKS AVE STE A
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4505
Mailing Address - Country:US
Mailing Address - Phone:407-636-6115
Mailing Address - Fax:844-691-1066
Practice Address - Street 1:2095 W FAIRBANKS AVE STE A
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4505
Practice Address - Country:US
Practice Address - Phone:407-636-6115
Practice Address - Fax:844-691-1066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-21
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH32507OtherPHARMACY BOARD PERMIT