Organization
CENTRAL MEDICAL EQUIPMENT SUPPLY INC
Active
Other names
Central Florida Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL LOPEZ (PRESIDENT)
(813) 932-9358
Entity
Organization
Contact information
Practice address
2901 W BUSCH BLVD, 916, TAMPA, FL 33618-4523
(813) 932-9358
(813) 933-4128
Mailing address
2901 W BUSCH BLVD, 916, TAMPA, FL 33618-4523
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH23263
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1038733
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/15/2008
Last updated
03/20/2009
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