Organization
HILLSBOROUGH RIVER PHARMACY INC
Active
Organization
HILLSBOROUGH RIVER PHARMACY INC
Active
Other names
Hillsborough River Pharmacy Inc
Organization subpart
No
Provider details
NPI number
Authorized official
AMBROSE CHUKWUEKE B.PHARM., B.LAW (PHARMACY MANAGER)
(813) 873-3651
Entity
Organization
Contact information
Practice address
4603 N ARMENIA AVE, TAMPA, FL 33603-2705
(813) 873-3651
(813) 873-3691
Mailing address
4603 NORTH ARMENIA AVENUE, TAMPA, FL 33603
(813) 873-3651
(813) 873-3691
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23851
FL
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019188500
—
FL
01
—
2119519
PK
—
Enumeration date
01/26/2009
Last updated
09/19/2025
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