Organization
POLARIS PHARMACY SERVICES OF TAMPA, LLC
Active
Other names
Prime Pharmacy East
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA HUNT (CORPORATE DIRECTOR OF COMPLIANCE, C)
(800) 589-9747
Entity
Organization
Contact information
Practice address
5908 HAMPTON OAKS PKWY STE N, TAMPA, FL 33610-9505
(877) 891-0005
(877) 891-0006
Mailing address
2900 NW 60TH ST, FT LAUDERDALE, FL 33309-1774
(954) 919-1818
(954) 923-9261
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH30415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048152
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/25/2009
Last updated
02/19/2026
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