Provider Demographics
NPI:1720386204
Name:COVE INC
Entity Type:Organization
Organization Name:COVE INC
Other - Org Name:ALLWELL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OGECHI
Authorized Official - Middle Name:ETHEL
Authorized Official - Last Name:ABALIHI
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:813-505-2902
Mailing Address - Street 1:1947 W DR MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6509
Mailing Address - Country:US
Mailing Address - Phone:813-875-2683
Mailing Address - Fax:813-876-7271
Practice Address - Street 1:1947 W DR MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6509
Practice Address - Country:US
Practice Address - Phone:813-875-2683
Practice Address - Fax:813-876-7271
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COVE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH25293183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH25293OtherSTATE LICENCE NUMBER