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Organization

MY PRESCRIPTION COACH COM LLC

Active
Other names
My Prescription Coach Compounding Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHELLEY HIGHTOWER PHARM D (PHARMACIST IN CHARGE)
(813) 867-8213
Entity
Organization

Contact information

Practice address
2111 E 93RD AVE, TAMPA, FL 33612-8636
(813) 867-8213
(813) 443-1398
Mailing address
2111 E 93RD AVE, TAMPA, FL 33612-8636
(813) 867-8213
(813) 443-1398

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy

Other

Enumeration date
11/20/2019
Last updated
04/08/2021
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