National Provider Identifier Database

EBENEZER CLINICAL PHARMACY LLC
Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

EBENEZER CLINICAL PHARMACY LLC
518 CYPRESS PARKWAY RD
KISSIMMEE, FL34759
Phone: 407-785-1713
Fax: 407-785-1713
Website:
Specialty Taxonomy Code
* Community/Retail Pharmacy 3336C0003X
Clinic Pharmacy 3336C0002X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for EBENEZER CLINICAL PHARMACY LLC

NPI Number 1285161083
Legal business name
LBN
EBENEZER CLINICAL PHARMACY LLC
Authorized official TINA IHERA - (PHARMACIST/OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/11/2017
Last updated 04/10/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: PH30718
  • Other: 2171741 PK

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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