Provider Demographics
NPI:1689675712
Name:BOBO'S DRUGS, INC
Entity Type:Organization
Organization Name:BOBO'S DRUGS, INC
Other - Org Name:DAVIS ISLANDS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:ELI
Authorized Official - Last Name:BOBO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:813-254-1888
Mailing Address - Street 1:232 E DAVIS BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-3729
Mailing Address - Country:US
Mailing Address - Phone:813-254-1888
Mailing Address - Fax:813-254-8396
Practice Address - Street 1:232 E DAVIS BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-3729
Practice Address - Country:US
Practice Address - Phone:813-254-1888
Practice Address - Fax:813-254-8396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
FLPH9794333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1022297OtherNABP
FL100756400Medicaid
FL100756400Medicaid
FL0728610001Medicare NSC