Organization
JET PHARMACY LLC
Active
Other names
JET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES SMITH (RPH)
(813) 933-3458
Entity
Organization
Contact information
Practice address
2310 W WATERS AVE, STE J, TAMPA, FL 33604-2764
(813) 933-3458
(813) 935-5163
Mailing address
2310 W WATERS AVE, STE J, TAMPA, FL 33604-2764
(813) 933-3458
(813) 935-5163
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001437200
—
FL
01
—
2121317
PK
—
Enumeration date
08/11/2009
Last updated
09/15/2015
Update your record
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