Provider Demographics
NPI:1770226698
Name:SYNERGISTRX INC
Entity Type:Organization
Organization Name:SYNERGISTRX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD, MHA, BCPS
Authorized Official - Phone:727-250-9038
Mailing Address - Street 1:2803 GULF TO BAY BLVD # 255
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-4014
Mailing Address - Country:US
Mailing Address - Phone:727-250-9038
Mailing Address - Fax:727-379-8328
Practice Address - Street 1:2521 COLUMBUS WAY S
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-3904
Practice Address - Country:US
Practice Address - Phone:727-250-9038
Practice Address - Fax:727-379-8328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty