Provider Demographics
NPI:1043549520
Name:OMEGA DRUGS INC
Entity type:Organization
Organization Name:OMEGA DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIS
Authorized Official - Prefix:MR
Authorized Official - First Name:BABATUNDE
Authorized Official - Middle Name:I
Authorized Official - Last Name:AKINBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-786-7675
Mailing Address - Street 1:11410 N 56TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-2237
Mailing Address - Country:US
Mailing Address - Phone:813-985-0044
Mailing Address - Fax:813-985-0042
Practice Address - Street 1:11410 N 56TH ST
Practice Address - Street 2:STE 101
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-2237
Practice Address - Country:US
Practice Address - Phone:813-985-0044
Practice Address - Fax:813-985-0042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-14
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH243603336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001719300Medicaid