Organization
GRANDE PHARMACY LLC
Active
Organization
GRANDE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QINGPING ZHANG (PHARMACIST)
(813) 623-9911
Entity
Organization
Contact information
Practice address
4015 E HILLSBOROUGH AVE, TAMPA, FL 33610-3847
(813) 623-9911
(813) 623-9922
Mailing address
4015 E HILLSBOROUGH AVE, TAMPA, FL 33610-3847
(813) 623-9911
(813) 623-9922
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000751400
—
FL
Enumeration date
10/21/2008
Last updated
05/28/2010
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