Organization
ST JOSEPH PHARMACY LLC
Active
Other names
ST JOSEPH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BOTROS ESKAROUS (PHARMACY MANAGER)
(813) 679-8024
Entity
Organization
Contact information
Practice address
7933 N ARMENIA AVE, TAMPA, FL 33604-3830
(813) 930-6000
(813) 930-6007
Mailing address
7933 N ARMENIA AVE, TAMPA, FL 33604-3830
(813) 930-6000
(813) 930-6007
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26586
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2138818
PK
—
Enumeration date
02/06/2013
Last updated
11/10/2016
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