Organization
JONELEEN LLC
Active
Other names
LAND O' LAKES PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MUSCA (MANAGER)
(813) 803-7303
Entity
Organization
Contact information
Practice address
1931 W DR MARTIN LUTHER KING JR BLVD STE D, TAMPA, FL 33607-6529
(813) 803-7303
(813) 803-7305
Mailing address
1931 W DR MARTIN LUTHER KING JR BLVD STE D, TAMPA, FL 33607-6529
(813) 803-7303
(813) 803-7305
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28524
FL
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014461100
—
FL
Enumeration date
02/19/2015
Last updated
06/25/2025
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