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Organization

PHEMMY VENTURES INC

Active
Other names
Healthmart Discount Drugs
Organization subpart
No

Provider details

NPI number
Authorized official
VENAN NANAKUMO M.PHARM (PHARMACY MANAGER)
(813) 843-3224
Entity
Organization

Contact information

Practice address
1412 W WATERS AVE STE 103, TAMPA, FL 33604-2802
(813) 931-3700
(813) 931-3747
Mailing address
1412 W WATERS AVE, STE 103, TAMPA, FL 33604-2802
(813) 931-3700
(813) 931-3747

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23188
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000027500
FL
01
1036121
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
07/10/2008
Last updated
10/14/2010
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