Organization
PALMS PHARMACY, INC
Active
Organization
PALMS PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIDA AMAR PHARMD (PHARMACIST)
(813) 252-9063
Entity
Organization
Contact information
Practice address
17008 PALM POINTE DR, TAMPA, FL 33647-3504
(813) 252-9063
(813) 252-7017
Mailing address
17008 PALM POINTE DR, TAMPA, FL 33647-3504
(813) 252-9063
(813) 252-7017
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29615
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH29615
STATE LICENSE
FL
Enumeration date
12/21/2015
Last updated
01/09/2017
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