Organization
HABANA HOSPITAL PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE CAMERON MYERS JR. PHARMD. (PRESIDENT/PHARMACIST)
(813) 872-7771
Entity
Organization
Contact information
Practice address
4710 N HABANA AVE, #101, TAMPA, FL 33614-7161
(813) 872-7771
(813) 872-8295
Mailing address
4710 N HABANA AVE, #101, TAMPA, FL 33614-7161
(813) 872-7771
(813) 872-8295
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH1515
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101847700
—
FL
Enumeration date
09/21/2006
Last updated
04/07/2015
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