Organization
PROSPER INFUSION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEE DUONG PHARMD (CEO)
(980) 622-7124
Entity
Organization
Contact information
Practice address
12637 RACE TRACK RD, WESTCHASE, FL 33626-1331
(813) 749-0786
Mailing address
12637 RACE TRACK RD, TAMPA, FL 33626-1331
(813) 749-0786
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
12/14/2020
Last updated
12/31/2020
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