OrganizationPromise Pharmacy LlcPharmacySuppliersPractice Address31818 Us 19 N, Palm Harbor, FL 34684-3713(727) 772-0500PECOS EnrollmentBased on the most recent information from CMS, provider Promise Pharmacy 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 ID1124132196Provider TypeOrganizationFull NamePromise Pharmacy LlcSubpartNoEnumeration Date8/18/2006Last Updated3/17/2018Contact InformationPractice LocationPractice Address31818 Us 19 N, Palm Harbor, FL 34684-3713Phone(727) 772-0500Fax(727) 772-0511Mailing LocationMailing Address31818 Us 19 S, Palm Harbor, FL 34684Phone(727) 772-0500Fax(727) 772-0511Authorized OfficialNamePatel, Dipti (Owner)Phone(727) 772-0500Provider TaxonomiesCodeDescriptionLicenseCode3336C0003XPrimaryDescriptionPharmacySuppliersLicensePH22007FloridaCode332B00000XDescriptionDurable Medical Equipment & Medical SuppliesSuppliersLicenseUnlisted IssuerCode3336C0004XDescriptionPharmacySuppliersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID2006789DescriptionOtherIssuerPKID031568100DescriptionMedicaidIssuerUnlistedFlorida