Organization
R & GRIFFITH ENTERPRISE INC
Active
Other names
New Tampa Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RETS GRIFFITH (CEO)
(813) 334-8946
Entity
Organization
Contact information
Practice address
2912 W WATERS AVE, TAMPA, FL 33614-1855
(813) 865-0522
(813) 865-0524
Mailing address
10859 CORY LAKE DR, TAMPA, FL 33647-2992
(813) 865-0522
(813) 865-0524
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041350
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/13/2009
Last updated
07/01/2009
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