Organization
FLORIDA DRUG OF TAMPA INC
Active
Other names
FLORIDA DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS HATTABAUGH (PHARMACIST MANAGER)
(813) 248-3308
Entity
Organization
Contact information
Practice address
2102 E 7TH AVE, TAMPA, FL 33605-3904
(813) 248-3308
(813) 248-3468
Mailing address
2102 E 7TH AVE, TAMPA, FL 33605-3904
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH1510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022449
OTHER ID NUMBER
—
Enumeration date
02/27/2007
Last updated
07/19/2007
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