Organization
SAINT THOMAS COMPOUNDING LLC
Active
Other names
St. Thomas Compounding
Organization subpart
No
Provider details
NPI number
Authorized official
RANIA SHAKER (PHARMACY MANAGER)
(718) 223-3467
Entity
Organization
Contact information
Practice address
36511 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1340
(727) 787-7400
Mailing address
36511 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1340
(727) 787-7400
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PH30516
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140627
PK
—
Enumeration date
06/07/2013
Last updated
02/15/2017
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