Organization
BRIAN A MCDONALD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN ANTHONY MCDONALD R.PH. (PHARMACIST)
(727) 639-6004
Entity
Organization
Contact information
Practice address
12633 RACE TRACK RD, TAMPA, FL 33626-1331
(813) 818-0570
Mailing address
1889 MUIRFIELD WAY, OLDSMAR, FL 34677-1934
(727) 639-6004
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PS21785
FL
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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