Organization
UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES
Active
Organization
UNIVERSITY OF SOUTH FLORIDA BOARD OF TRUSTEES
Active
Other names
USF Bulls Country Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PUCCIO M.D. (MEDICAL DIRECTOR)
(813) 974-2331
Entity
Organization
Contact information
Practice address
12530 USF BULL RUN DRIVE, SWC 310, TAMPA, FL 33620
(813) 974-2071
(813) 974-4383
Mailing address
12530 USF BULL RUN DRIVE, SWC 310, TAMPA, FL 33620
(813) 974-2074
(813) 974-4383
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23526
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115486200
—
FL
01
—
2117253
PK
—
Enumeration date
10/01/2008
Last updated
06/15/2023
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