Organization
TITA HEALTHCARE INC.
Active
Other names
ADVANCED CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL TITA (PHARMACIST)
(813) 252-3157
Entity
Organization
Contact information
Practice address
12811 N NEBRASKA AVE STE J, TAMPA, FL 33612-4401
(813) 252-3157
(813) 252-3192
Mailing address
12811 N NEBRASKA AVE STE J, TAMPA, FL 33612-4401
(813) 252-3157
(813) 252-3192
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH31153
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175831
PK
—
Enumeration date
02/13/2018
Last updated
02/13/2018
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