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Organization

IDEL PHARMACY, INC

Active
Parent organization
IDEL PHARMACY, INC
Other names
Idel Pharmacy LTC
Organization subpart
Yes

Provider details

NPI number
Legal business name
IDEL PHARMACY, INC
Authorized official
DR. ILLAN SUAREZ PHARM.D., MBA (PRESIDENT)
(813) 877-6679
Entity
Organization

Contact information

Practice address
3314 W COLUMBUS DR STE A, TAMPA, FL 33607-1801
(813) 877-6679
(813) 877-1692
Mailing address
3314 W COLUMBUS DR STE A, TAMPA, FL 33607-1801
(813) 877-6679
(813) 877-1692

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
05/16/2023
Last updated
05/16/2023
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