Organization
HEALTHWISE PHARMACY
Active
Other names
HEALTHWISE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIRAL SHAH RPH (OWNER/PIC/AO)
(813) 932-6337
Entity
Organization
Contact information
Practice address
2708 W WATERS AVE, TAMPA, FL 33614-1837
(813) 932-6337
(813) 932-7455
Mailing address
2708 W WATERS AVE, TAMPA, FL 33614-1837
(813) 932-6337
(813) 932-7455
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH13181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102894400
—
FL
01
—
2013524
PK
—
Enumeration date
09/12/2006
Last updated
07/19/2018
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