Organization
MEDASSIST RX,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANH PHAN (OWNER)
(813) 385-7249
Entity
Organization
Contact information
Practice address
1209 TECH BLVD, STE 211, TAMPA, FL 33619-7870
(813) 620-4101
(813) 620-4161
Mailing address
1209 TECH BLVD, STE 211, TAMPA, FL 33619-7870
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH21715
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1018957
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
05/08/2006
Last updated
08/22/2020
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