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Organization

STERILE COMPOUNDING PHARMACY LLC.

Active
Other names
Sterile Compounding Pharmacy LLC.
Organization subpart
No

Provider details

NPI number
Authorized official
TYLER GUSTMAN (PHARMACIST)
(855) 251-3874
Entity
Organization

Contact information

Practice address
7381 114TH AVE, SUITE 405A, LARGO, FL 33773-5131
(727) 474-8381
(727) 623-0935
Mailing address
7381 114TH AVE, SUITE 405A, LARGO, FL 33773-5131
(727) 474-8381
(727) 623-0935

Taxonomy

Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH27507
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2151078
PK
Enumeration date
04/01/2015
Last updated
04/01/2015
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