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Organization

TALLAHASSEE CANCER INSTITUTE PL

Active
Other names
Tallahassee Cancer Institute Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
AMER RASSAM (MD)
(850) 219-8000
Entity
Organization

Contact information

Practice address
1653 MAHAN CENTER BLVD, SUITE A, TALLAHASSEE, FL 32308-5454
(850) 727-5502
(850) 219-8003
Mailing address
1653 MAHAN CENTER BLVD, SUITE A, TALLAHASSEE, FL 32308-5454
(850) 727-5502
(850) 219-8003

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH30628
FL
3336C0003X
Community/Retail Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2168070
PK
Enumeration date
03/07/2017
Last updated
04/13/2017
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