Organization
XTRA DISCOUNT DRUGS HC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY THOMAS SETZER REGISTERED PHARMACIS (PRESIDENT)
(205) 467-3347
Entity
Organization
Contact information
Practice address
401 EAST HINSON AVE, HAINES CITY, FL 33844
(863) 421-6399
(863) 422-7004
Mailing address
401 EAST HINSON AVE, HAINES CITY, FL 33844
(863) 421-6399
(863) 422-7004
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
013701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076947
NAPB
—
Enumeration date
02/27/2007
Last updated
08/30/2007
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