Organization
TMRX VENTURES
Active
Other names
Lake Nona Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
OSMAN HASSAN (OFFICE MANAGER)
(407) 903-1544
Entity
Organization
Contact information
Practice address
10727 NARCOOSSEE RD STE B6, ORLANDO, FL 32832-6943
(407) 903-1544
(407) 903-1520
Mailing address
10727 NARCOOSSEE RD STE B6, ORLANDO, FL 32832-6943
(407) 903-1544
(407) 903-1520
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25571
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5706544
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/08/2011
Last updated
07/08/2011
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