Organization
TECA MEDICAL ENTERPRISES CORP
Active
Organization
TECA MEDICAL ENTERPRISES CORP
Active
Other names
T & C Discount Pharmacy Plus
Organization subpart
No
Provider details
NPI number
Authorized official
ELLRIE ALLEN (OWNER)
(813) 909-0100
Entity
Organization
Contact information
Practice address
26316 WESLEY CHAPEL BLVD, LUTZ, FL 33559-7208
(813) 994-8100
(813) 994-8104
Mailing address
26316 WESLEY CHAPEL BLVD, LUTZ, FL 33559-7208
(813) 994-8100
(813) 994-8104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25912
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00581990
—
FL
01
—
2135104
PK
—
Enumeration date
05/08/2015
Last updated
07/16/2015
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