Organization
PLAMYRA PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAB HARAKA (MANAGER)
(352) 213-3815
Entity
Organization
Contact information
Practice address
4817 E BUSCH BLVD, TAMPA, FL 33617
(352) 213-3815
Mailing address
4817 E BUSCH BLVD, TAMPA, FL 33617
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
30300
FL
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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