Organization
WEST COAST PHARMACY II LLC
Active
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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