Organization
HABOUR ISLAND PHARMACY LLC
Active
Other names
Habour Island Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SWITLYK (PIC)
(813) 784-0333
Entity
Organization
Contact information
Practice address
601 S HARBOUR ISLAND BLVD, SUITE 105, TAMPA, FL 33602-5735
(813) 374-0206
(813) 374-0208
Mailing address
601 S HARBOUR ISLAND BLVD, SUITE 105, TAMPA, FL 33602-5735
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23442
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1037729
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/12/2008
Last updated
09/12/2008
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