Guardian Pharmacy Of Southwest Florida Llc
Long Term Care Pharmacy
4873 Plantation Blvd., North Port
Florida, 34289-9503
941-255-1987 941-629-5507
Guardian Pharmacy Of Southwest Florida Llc is a Long Term Care Pharmacy in North Port, Florida. It is located at 4873 Plantation Blvd., North Port and it's customer support contact number is 941-255-1987. The authorized person of Guardian Pharmacy Of Southwest Florida Llc is Mike Klein who is President of the pharmacy and his contact number is 941-255-1987. Active license number of Guardian Pharmacy Of Southwest Florida Llc is PH28854 for Long Term Care Pharmacy in Florida. Guardian Pharmacy Of Southwest Florida Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Guardian Pharmacy Of Southwest Florida Llc is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Guardian Pharmacy Of Southwest Florida Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Guardian Pharmacy Of Southwest Florida Llc |
| Type: | Long Term Care Pharmacy |
| Location: | 4873 Plantation Blvd., North Port,
Florida, 34289-9503 |
| Phone: | 941-255-1987 |
| Fax: | 941-629-5507 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mike Klein |
| Position: | President |
| Contact Number: | 941-255-1987 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1285024125 |
| NPI Enumeration Date: | 30 Jan, 2015 |
| NPI Last Update On: | 27 Aug, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Guardian Pharmacy Of Southwest Florida Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | PH28854 | Florida | Primary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 014310700 | Medicaid | Florida | |
| 2150227 | Other | | Pk |
Medicare Enrollment:
Guardian Pharmacy Of Southwest Florida Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9537489893 | O20150528000361 | Guardian Pharmacy Of Southwest Florida Llc | DME SUPPLIER - PHARMACY |
| 9537489893 | O20160114002675 | Guardian Pharmacy Of Southwest Florida Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 11407, Dept #2464
Birmingham, Alabama |
| Zip: | 35246-2464 |
| Phone Number: | 404-554-1647 |
| Fax Number: | 404-554-1648 |
Patients can reach Guardian Pharmacy Of Southwest Florida Llc at
4873 Plantation Blvd., North Port, Florida or can
call on customer care at 941-255-1987.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.