Organization
PROSPER INFUSION, INC.
Active
Other names
Prosper Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEE DUONG (PRESIDENT)
(813) 749-0786
Entity
Organization
Contact information
Practice address
12637 RACE TRACK RD, WESTCHASE, FL 33626-1331
(813) 749-0786
(813) 922-2457
Mailing address
12637 RACE TRACK RD, WESTCHASE, FL 33626-1331
(813) 749-0786
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
11/10/2021
Last updated
10/31/2023
Update your record
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