Organization
PHARMACYGO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED AMER PHARMD (DIRECTOR)
(484) 948-7043
Entity
Organization
Contact information
Practice address
20041 S TAMIAMI TRL STE 13, ESTERO, FL 33928-2228
(239) 908-3187
(239) 908-3925
Mailing address
19123 SWEET CLOVER LN, TAMPA, FL 33647-3545
(484) 948-7043
(239) 908-3925
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104449500
—
FL
Enumeration date
03/18/2019
Last updated
07/23/2024
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