Provider Demographics
NPI:1497075386
Name:EB DRUGS INC
Entity type:Organization
Organization Name:EB DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-372-2900
Mailing Address - Street 1:4158 ROWAN RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-6116
Mailing Address - Country:US
Mailing Address - Phone:727-372-2900
Mailing Address - Fax:727-372-2901
Practice Address - Street 1:4158 ROWAN RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-6116
Practice Address - Country:US
Practice Address - Phone:727-372-2900
Practice Address - Fax:727-372-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-02
Last Update Date:2011-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH246433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5700972OtherNCPDP PROVIDER IDENTIFICATION NUMBER