| NPI | 1316346620 |
|---|---|
| Doing Business As | EASTPORT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | HASSAN BAZZI Owner, Mgr, PIC 772-324-1512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH28441) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2015-02-26 |