Organization
WATERS COMMUNITY PHARMACY
Active
Other names
WATERS COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CESAR SALAMONE (PRESIDENT)
(813) 541-5490
Entity
Organization
Contact information
Practice address
8206 W WATERS AVE, STE 114, TAMPA, FL 33615-1852
(813) 888-9900
(813) 888-9998
Mailing address
8206 W WATERS AVE, STE 114, TAMPA, FL 33615-1852
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22834
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1027817
OTHER ID NUMBER
—
Enumeration date
08/01/2007
Last updated
09/13/2007
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