Organization
MY PHARMACY OF TAMPA LLC
Active
Other names
my pharmacy of tampa
Organization subpart
No
Provider details
NPI number
Authorized official
TIN NGUYEN (PHARMACY MANAGER)
(727) 692-7584
Entity
Organization
Contact information
Practice address
7108 CAUSEWAY BLVD, TAMPA, FL 33619-6364
(813) 628-4441
(813) 628-4442
Mailing address
5002 TARI STREAM WAY, BRANDON, FL 33511-8416
(813) 689-7580
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25203
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128620
PK
—
Enumeration date
01/24/2011
Last updated
03/31/2015
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