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Organization

MATRIX PHARMACY, LLC

Active
Other names
myMatrixx
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALLEN P (PHIL) WALLS R.PH. (SR. VICE PRESIDENT)
(813) 514-0494
Entity
Organization

Contact information

Practice address
5706 BENJAMIN CENTER DR, SUITE 103, TAMPA, FL 33634-5262
(800) 784-0882
Mailing address
PO BOX 274070, TAMPA, FL 33688-4070
(800) 784-0882

Taxonomy

Speciality
Code
Description
License number
State
3336M0002X
Mail Order Pharmacy
Primary
PS20125
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1014531
NCPDP-NABP
Enumeration date
01/17/2007
Last updated
03/07/2023
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