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Organization
MEDIPHARM RX INC
Active
Organization
MEDIPHARM RX INC
Active
Other names
MEDIPHARM RX
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HAWES (CHIEF PHARMACIST)
(813) 876-0881
Entity
Organization
Contact information
Practice address
4607 N CLARK AVE, TAMPA, FL 33614-7038
(813) 876-0881
(813) 876-0883
Mailing address
4607 N CLARK AVE, TAMPA, FL 33614-7038
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PH21000
FL
3336I0012X
Institutional Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1009251
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
7947131341
—
FL
Enumeration date
06/19/2006
Last updated
09/11/2025
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