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Organization
STERILE COMPOUNDING PHARMACY LLC.
Active
Organization
STERILE COMPOUNDING PHARMACY LLC.
Active
Other names
Sterile Compounding Pharmacy LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER GUSTMAN (PHARMACIST)
(855) 251-3874
Entity
Organization
Contact information
Practice address
7381 114TH AVE, SUITE 405A, LARGO, FL 33773-5131
(727) 474-8381
(727) 623-0935
Mailing address
7381 114TH AVE, SUITE 405A, LARGO, FL 33773-5131
(727) 474-8381
(727) 623-0935
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH27507
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151078
PK
—
Enumeration date
04/01/2015
Last updated
04/01/2015
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