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Organization

TATA RESOURCES LLC

Active
Other names
BAY AREA PHARMACY # 01, BAY AREA PHARMACY & MEDICAL SUPPLY, BAY AREA PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN O BANJOKO (CFO)
(813) 341-4000
Entity
Organization

Contact information

Practice address
13502 N FLORIDA AVE UNIT B, TAMPA, FL 33613-3213
(813) 221-3131
(866) 823-7996
Mailing address
PO BOX 17175, TAMPA, FL 33682-7175
(813) 221-3131
(813) 343-4321

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
PH23250
FL
3336L0003X
Long Term Care Pharmacy
3336S0011X
Specialty Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006558700
FL
05
006558701
FL
01
2010896
PK
Enumeration date
03/11/2008
Last updated
01/21/2026
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