Provider Demographics
NPI:1790194975
Name:EMPATH HEALTH PHARMACEUTICALS, LLC
Entity Type:Organization
Organization Name:EMPATH HEALTH PHARMACEUTICALS, LLC
Other - Org Name:EMPATH HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUHAMID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-552-7500
Mailing Address - Street 1:5771 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-3407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3050 1ST AVE S
Practice Address - Street 2:PHARMACY DEPARTMENT
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-1010
Practice Address - Country:US
Practice Address - Phone:727-523-2515
Practice Address - Fax:727-523-2536
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMPATH HEALTH INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-12
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH29226OtherLICENSE