Provider Demographics
NPI:1750449476
Name:TAB SAFE PRESCRIPTION SERVICES
Entity Type:Organization
Organization Name:TAB SAFE PRESCRIPTION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:N
Authorized Official - Last Name:CHIAVETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-990-8450
Mailing Address - Street 1:12505 STARKEY ROAD
Mailing Address - Street 2:SUITE C TAMPA PHARMACY
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33772
Mailing Address - Country:US
Mailing Address - Phone:727-230-0839
Mailing Address - Fax:727-230-0840
Practice Address - Street 1:12505 STARKEY ROAD
Practice Address - Street 2:SUITE C TAB SAFE PRESCRIPTION SERVICES
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33772
Practice Address - Country:US
Practice Address - Phone:727-230-0839
Practice Address - Fax:727-230-0840
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5164410002Medicare ID - Type Unspecified