Organization
KENNETH D. WURSTER DRUGS, INC.
Active
Other names
WEST SHORE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAYRA WURSTER PHARM D (PRES)
(813) 837-9095
Entity
Organization
Contact information
Practice address
3206 S WEST SHORE BLVD, TAMPA, FL 33629-7652
(813) 837-9095
(813) 839-0802
Mailing address
3206 S WEST SHORE BLVD, TAMPA, FL 33629-7652
(813) 837-9095
(813) 839-0802
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH10939
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10102980C
—
FL
01
—
2007853
PK
—
Enumeration date
12/01/2006
Last updated
02/20/2017
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