Organization
HEPZIBAH INC
Active
Other names
kay pharmacy #001
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUKAYODE THEOPHILUS OGUNDIPE (PHARMACIST)
(813) 632-9032
Entity
Organization
Contact information
Practice address
3500 E FLETCHER AVE STE 120, TAMPA, FL 33613-4789
(813) 632-9032
(813) 632-9035
Mailing address
3500 E FLETCHER AVE STE 120, TAMPA, FL 33613-4789
(813) 632-9032
(813) 632-9035
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH19717
FL
Other
Enumeration date
12/13/2006
Last updated
08/22/2020
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