Organization
ST PETE COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WAYNE NUNDY PHARMD (CO-OWNER/PHARMACIST)
(727) 209-1282
Entity
Organization
Contact information
Practice address
3434 13TH AVE N, ST PETERSBURG, FL 33713-5424
(727) 209-1282
Mailing address
3434 13TH AVE N, ST PETERSBURG, FL 33713-5424
(727) 209-1282
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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