Organization
PHARMACY OF TAMA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYE JORGE ORTEGA LMT (PRESIDENT)
(813) 446-3985
Entity
Organization
Contact information
Practice address
4536 W JEAN ST, TAMPA, FL 33614-3611
(813) 446-3985
Mailing address
4536 W JEAN ST, TAMPA, FL 33614
(813) 446-3985
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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