Organization
WIN-DIXIE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR OSEI-KOFI RPH (PHARMACY MANAGER)
(813) 986-0788
Entity
Organization
Contact information
Practice address
11926 GROVEWOOD AVE, THONOTOSASSA, FL 33592-2848
(813) 986-0788
(813) 986-9607
Mailing address
11926 GROVEWOOD AVE, THONOTOSASSA, FL 33592-2848
(813) 986-0788
(813) 986-9607
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
380100106110506
FL
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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