Organization
PHARMA-VILLE INC
Active
Other names
d/b/a: Pharma-Ville Rx & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
NEVILLE E COOKE DR (PRESIDENT)
(813) 605-0732
Entity
Organization
Contact information
Practice address
14857 N DALE MABRY HWY, TAMPA, FL 33618-2027
(813) 605-0732
(813) 605-0733
Mailing address
14857 N DALE MABRY HWY, TAMPA, FL 33618-2027
(813) 605-0732
(813) 605-0733
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29232
FL
Other
Enumeration date
07/21/2015
Last updated
07/22/2020
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