Organization
HARBOUR ISLAND PHARMACY
Active
Other names
Harbour Island Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY PRIETO (OWNER)
(813) 240-2314
Entity
Organization
Contact information
Practice address
601 S HARBOUR ISLAND BLVD, TAMPA, FL 33602-5735
(813) 374-0207
Mailing address
601 S HARBOUR ISLAND BLVD, TAMPA, FL 33602-5735
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043025
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
03/03/2009
Last updated
03/03/2009
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