Organization
QUADREN LLC
Active
Other names
boots pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAJUDEEN YUSUF (OWNER)
(813) 480-9223
Entity
Organization
Contact information
Practice address
8001 N DALE MABRY HWY, BUILDING 801 SUITE #A, TAMPA, FL 33614-3290
(813) 935-4936
(813) 935-4938
Mailing address
8001 N DALE MABRY HWY, BUILDING 801 SUITE #A, TAMPA, FL 33614-3290
(813) 935-4936
(813) 935-4938
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24258
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5702229
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/28/2010
Last updated
02/22/2011
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