Organization
FLORIDA COAST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIMPLICE ESSOU (OWNER)
(317) 441-8614
Entity
Organization
Contact information
Practice address
9006 N 40TH ST, TAMPA, FL 33604-2428
(317) 441-8614
Mailing address
9006 N 40TH STREET, TAMPA, FL 33604-2428
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25434
FL
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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