Organization
PATIENT SOURCE CONSULTING
Active
Other names
Nearbyrx
Organization subpart
No
Provider details
NPI number
Authorized official
YOLANDE NZIGA (MANAGER)
(813) 609-6914
Entity
Organization
Contact information
Practice address
8755 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL 33637-6729
(813) 609-6914
Mailing address
8755 TEMPLE TERRACE HWY, TEMPLE TERRACE, FL 33637-6729
(813) 609-6914
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH28776
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015963000
—
FL
01
—
2154063
PK
—
Enumeration date
06/24/2015
Last updated
10/19/2016
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