OrganizationSaint Thomas Compounding Llc(St. Thomas Pharmacy)PharmacySuppliersPractice Address36511 Us Highway 19 N, Palm Harbor, FL 34684-1340(844) 288-7889PECOS EnrollmentBased on the most recent information from CMS, provider Saint Thomas Compounding Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1093252082Provider TypeOrganizationFull NameSaint Thomas Compounding LlcOther NameSt. Thomas PharmacySubpartNoEnumeration Date1/27/2017Last Updated1/27/2017Contact InformationPractice LocationPractice Address36511 Us Highway 19 N, Palm Harbor, FL 34684-1340Phone(844) 288-7889Fax(847) 257-8384Mailing LocationMailing Address36511 Us Highway 19 N, Palm Harbor, FL 34684-1340Phone(844) 288-7889Fax(847) 257-8384Authorized OfficialNameBlackmon, Bonnie (Administrator)Phone(844) 288-7889Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicensePH30516FloridaCode333600000XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2167437DescriptionOtherIssuerPK