# WIN-DIXIE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740306893
- **Authorized official:** VICTOR OSEI-KOFI RPH (PHARMACY MANAGER)
- **Authorized official phone:** (813) 986-0788

## Contact information

- **Practice address:** 11926 GROVEWOOD AVE, THONOTOSASSA, FL 33592-2848
- **Practice address phone:** (813) 986-0788
- **Practice address fax:** (813) 986-9607
- **Mailing address:** 11926 GROVEWOOD AVE, THONOTOSASSA, FL 33592-2848
- **Mailing address phone:** (813) 986-0788
- **Mailing address fax:** (813) 986-9607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 380100106110506 | FL | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020