Provider Demographics
NPI:1548094410
Name:ONE-STOP PHARMACY 101 LLC
Entity type:Organization
Organization Name:ONE-STOP PHARMACY 101 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PIC - OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PARAG
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-458-0935
Mailing Address - Street 1:1101 6TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4020
Mailing Address - Country:US
Mailing Address - Phone:863-845-5800
Mailing Address - Fax:863-875-7912
Practice Address - Street 1:1101 6TH ST NW
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4020
Practice Address - Country:US
Practice Address - Phone:863-845-5800
Practice Address - Fax:863-875-7912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-31
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy