Organization
FLETCHER DISCOUNT PHARMACY INC
Active
Other names
NEXT DOSE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH MCEWEN RPH (PRESIDENT)
(813) 977-2013
Entity
Organization
Contact information
Practice address
3450 E FLETCHER AVE, STE 140, TAMPA, FL 33613-4655
(813) 977-2013
(813) 441-7255
Mailing address
3450 E FLETCHER AVE, STE 140, TAMPA, FL 33613-4655
(813) 977-2013
(813) 441-7255
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22386
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031837000
—
FL
01
—
1023833
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
09/12/2012
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