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Organization

RS COMPOUNDING LLC

Active
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Organization

RS COMPOUNDING LLC

Active
Other names
WESTCHASE COMPOUNDING PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
RENIER GOBEA (OWNER/MANAGER)
(813) 925-8200
Entity
Organization

Contact information

Practice address
12617 RACE TRACK RD, TAMPA, FL 33626-1331
(813) 925-8200
(813) 925-8933
Mailing address
12617 RACE TRACK RD, TAMPA, FL 33626-1331
(813) 925-8200
(813) 925-8933

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH20981
FL
3336C0004X
Compounding Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2004099
PK
Enumeration date
04/06/2007
Last updated
04/16/2015
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