Organization
H. LEE MOFFITT CANCER CENTER AND RESEARCH INSTITUTE HOSPITAL, INC.
Active
Other names
Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA MARIELA ALFONSO PHARMD (PHARMACY MANAGER)
(813) 745-6085
Entity
Organization
Contact information
Practice address
12902 USF MAGNOLIA DRIVE, MAILSTOP: MCC-PHARM, TAMPA, FL 33612
(813) 745-7354
(813) 745-1484
Mailing address
12902 USF MAGNOLIA DRIVE, MAILSTOP: MCC-PHARM, TAMPA, FL 33612
(813) 745-7354
(813) 745-1484
Taxonomy
Speciality
Code
Description
License number
State
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109430100
—
FL
Enumeration date
05/25/2022
Last updated
05/25/2022
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