Provider Demographics
NPI:1295049344
Name:HOPE PHARMACY OF FLORIDA, INC
Entity type:Organization
Organization Name:HOPE PHARMACY OF FLORIDA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RPH
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:AKANBI
Authorized Official - Last Name:ADEGOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-943-3172
Mailing Address - Street 1:12013 RUNNING FOX CIR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5686
Mailing Address - Country:US
Mailing Address - Phone:813-943-3172
Mailing Address - Fax:
Practice Address - Street 1:6834 GALL BLVD STE 105
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-2506
Practice Address - Country:US
Practice Address - Phone:813-943-3172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-31
Last Update Date:2010-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH247873336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy