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Organization

KSP PHARMACY, LLC.

Active
Other names
Express Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN CORREA (MEMBER)
(813) 936-9700
Entity
Organization

Contact information

Practice address
10549 N FLORIDA AVE, SUITE A, TAMPA, FL 33612-6707
(813) 936-9700
(813) 936-9729
Mailing address
10549 N FLORIDA AVE, SUITE A, TAMPA, FL 33612-6707
(813) 936-9700
(813) 936-9729

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Enumeration date
05/24/2012
Last updated
08/24/2012
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