# MEDIPHARM RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEDIPHARM RX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245275452
- **Authorized official:** JOHN HAWES (CHIEF PHARMACIST)
- **Authorized official phone:** (813) 876-0881

## Contact information

- **Practice address:** 4607 N CLARK AVE, TAMPA, FL 33614-7038
- **Practice address phone:** (813) 876-0881
- **Practice address fax:** (813) 876-0883
- **Mailing address:** 4607 N CLARK AVE, TAMPA, FL 33614-7038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | PH21000 | FL | — |
| 3336I0012X | Institutional Pharmacy | — | — | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | — | — |
| 3336M0002X | Mail Order Pharmacy | — | — | — |

## Other

- **Enumeration date:** 06/19/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1009251 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |
| 05 | — | 7947131341 | — | FL |