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Organization
FLORIDA DISCOUNT RX LLC
Active
Organization
FLORIDA DISCOUNT RX LLC
Active
Other names
FLORIDA DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TITA RPH (PHCY MANG)
(813) 335-0267
Entity
Organization
Contact information
Practice address
1951 W MLK JR BLVD, TAMPA, FL 33607
(813) 425-2195
(813) 382-1513
Mailing address
1951 W MLK JR BLVD, TAMPA, FL 33607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH22888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1028819
OTHER ID NUMBER
—
Enumeration date
09/26/2007
Last updated
10/09/2007
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