Organization
OUSIA PHARMACY CORP
Active
Other names
Ousia Pharmacy Corp.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE SCHRADE (OWNER)
(320) 405-9504
Entity
Organization
Contact information
Practice address
5194 MARINER BLVD, SPRING HILL, FL 34609
(813) 252-4076
(320) 455-9299
Mailing address
5194 MARINER BLVD, SPRING HILL, FL 34609
(813) 252-4076
(320) 455-9299
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29616
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104856400
—
FL
01
—
2157530
PK
—
Enumeration date
12/22/2015
Last updated
09/19/2024
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