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Organization

ADVANCED SPECIALTY PHARMACY OF TAMPA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COREY SORREL RPH (VICE PRESIDENT)
(813) 937-8700
Entity
Organization

Contact information

Practice address
2901 W BUSH BLVD, SUITE 104, TAMPA, FL 33618
(813) 931-8700
Mailing address
2901 W BUSH BLVD, SUITE 104, TAMPA, FL 33618
(813) 931-8700

Taxonomy

Speciality
Code
Description
License number
State
3336N0007X
Nuclear Pharmacy
Primary
21625
FL

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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