Organization
CBA PHARMACY INC
Active
Other names
GOOD HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRANJEEVI JANNU (PHARMACY MANAGER)
(813) 933-5830
Entity
Organization
Contact information
Practice address
13801 BRUCE B DOWNS BLVD STE 103&102, TAMPA, FL 33613-3946
(813) 933-5830
(813) 933-5841
Mailing address
1911 W DR MARTIN LUTHER KING JR BLVD, SUITE 1, TAMPA, FL 33607-6509
(813) 933-5830
(813) 933-5841
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25680
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132399
PK
—
Enumeration date
07/12/2011
Last updated
02/07/2020
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