Provider Demographics
NPI:1447083399
Name:ACHIEVE PHARMACY LLC
Entity type:Organization
Organization Name:ACHIEVE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:727-215-3030
Mailing Address - Street 1:533 HIGH PINES CT
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-4213
Mailing Address - Country:US
Mailing Address - Phone:727-215-3030
Mailing Address - Fax:
Practice Address - Street 1:4551 MAINLANDS BLVD W STE D
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-5637
Practice Address - Country:US
Practice Address - Phone:727-270-9886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy