Organization
HABOUR ISLAND PHARMACY LLC
Active
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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