Provider Demographics
NPI:1013977891
Name:TABSAFE MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:TABSAFE MEDICAL SERVICES, INC.
Other - Org Name:TABSAFE PRESCRIPTION SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:FRANKLAND
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-990-8450
Mailing Address - Street 1:1050 NORTHFIELD CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-3825
Mailing Address - Country:US
Mailing Address - Phone:678-990-8450
Mailing Address - Fax:678-990-8456
Practice Address - Street 1:12505 STARKEY RD
Practice Address - Street 2:STE C
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33773-2621
Practice Address - Country:US
Practice Address - Phone:727-230-0839
Practice Address - Fax:727-230-0844
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH20058333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5164410002Medicare ID - Type UnspecifiedFLORIDA MEDICARE #