Organization
TAMPA LONG TERM CARE PHARMACY LLC
Active
Other names
Meds To Home
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENNETT MBA (OWNER)
(813) 886-2023
Entity
Organization
Contact information
Practice address
4801 GEORGE RD STE 190, TAMPA, FL 33634-6200
(813) 886-2023
(813) 374-7417
Mailing address
4801 GEORGE RD STE 190, TAMPA, FL 33634-6200
(813) 886-2023
(813) 374-7417
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH25772
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017401800
—
FL
01
—
2132687
PK
—
Enumeration date
11/21/2011
Last updated
02/16/2017
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