Organization
VISTACARE PHARMACY SERVICES LLC
Active
Other names
VistaCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NAZIR HASSAN (AUTHORIZED AGENT)
(813) 444-4410
Entity
Organization
Contact information
Practice address
1441 E FLETCHER AVE STE 113, TAMPA, FL 33612-3670
(813) 444-4410
(813) 422-7946
Mailing address
1441 E FLETCHER AVE STE 113, TAMPA, FL 33612-3670
(813) 444-4410
(813) 422-7946
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26923
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014446700
—
FL
01
—
2150546
PK
—
Enumeration date
03/02/2015
Last updated
06/08/2022
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