| Cortez Pharmacy | |
|
3501 Cortez Rd W Ste 1 Bradenton FL 34210-3197 | |
| (941) 776-4000 | |
| Not Available |
| Full Name | Cortez Pharmacy |
|---|---|
| Speciality | Pharmacy |
| Location | 3501 Cortez Rd W Ste 1, Bradenton, Florida |
| Authorized Official Name and Position | Melvin B Price (PRESIDENT & CEO) |
| Authorized Official Contact | 9417764000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cortez Pharmacy 101 Riverfront Blvd Ste 710 Bradenton FL 34205-8812 Ph: (941) 776-4000 | Cortez Pharmacy 3501 Cortez Rd W Ste 1 Bradenton FL 34210-3197 Ph: (941) 776-4000 |
| NPI Number | 1326755208 |
|---|---|
| Provider Enumeration Date | 11/01/2022 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 7214847995 |
|---|---|
| Medicare Enrollment ID | O20230918004158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326755208 | NPI | - | NPPES |
| 118794300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Secondary |
| 333600000X | Pharmacy | () | Primary |
| 3336C0003X | Pharmacy - Community/retail Pharmacy | () | Secondary |
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