Organization
DAN'S PHARMACY INC DBA CARROLLWOOD COMPOUNDING CENTER
Active
Other names
Carrollwood Compounding Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAN DOMINIC FUCARINO B PHARM (PRESIDENT/ OWNER)
(813) 391-3009
Entity
Organization
Contact information
Practice address
11775 N DALE MABRY HWY, TAMPA, FL 33618-3503
(813) 961-8798
(813) 961-9800
Mailing address
11775 N DALE MABRY HWY, TAMPA, FL 33618-3503
(813) 961-8798
(813) 961-9800
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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