Organization
WEST COAST PHARMACY II LLC
Active
Other names
Memorial Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAJIN PATEL (OWNER)
(813) 784-3085
Entity
Organization
Contact information
Practice address
3609 HENDERSON BLVD, TAMPA, FL 33609-4501
(813) 874-0795
(813) 874-0851
Mailing address
3609 HENDERSON BLVD, TAMPA, FL 33609-4501
(813) 874-0795
(813) 874-0851
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH22512
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009550
PK
—
Enumeration date
02/12/2007
Last updated
06/07/2016
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