Provider Demographics
NPI:1902290471
Name:TENTHINO LLC
Entity Type:Organization
Organization Name:TENTHINO LLC
Other - Org Name:MP PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:BESKALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-657-1505
Mailing Address - Street 1:28813 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2583
Mailing Address - Country:US
Mailing Address - Phone:727-240-0271
Mailing Address - Fax:727-240-0289
Practice Address - Street 1:28813 US HIGHWAY 19 N
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2583
Practice Address - Country:US
Practice Address - Phone:727-240-0271
Practice Address - Fax:727-240-0289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
FLPH289853336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015058500Medicaid
2151035OtherPK