Organization
TATA COMPANIES INC
Active
Other names
BAY AREA PHARMACY LTC - 02A, BAY AREA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN O BANJOKO (CFO)
(813) 341-4000
Entity
Organization
Contact information
Practice address
10815 N NEBRASKA AVE, TAMPA, FL 33612-6816
(813) 234-4200
(866) 828-9508
Mailing address
PO BOX 17175, TAMPA, FL 33682-7175
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104325700
—
FL
05
—
20
—
FL
Enumeration date
11/15/2010
Last updated
01/21/2026
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