Organization
A & E OF TAMPA BAY, LLC
Active
Other names
1st Choice Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE HANNA (OWNER)
(727) 744-9628
Entity
Organization
Contact information
Practice address
2049 WELBILT BLVD, TRINITY, FL 34655
(727) 934-1300
(727) 674-1886
Mailing address
2049 WELBILT BLVD, TRINITY, FL 34655
(727) 940-3521
(727) 674-1886
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH23208
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133673
PK
—
Enumeration date
02/03/2012
Last updated
02/02/2022
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