Organization
FLORIDA DISCOUNT RX LLC
Active
Other names
FLORIDA DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN TITA RPH (PHCY MANG)
(813) 335-0267
Entity
Organization
Contact information
Practice address
1951 W MLK JR BLVD, TAMPA, FL 33607
(813) 425-2195
(813) 382-1513
Mailing address
1951 W MLK JR BLVD, TAMPA, FL 33607
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH22888
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1028819
OTHER ID NUMBER
—
Enumeration date
09/26/2007
Last updated
10/09/2007
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