Organization
XTRA CARE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILDRED PETERSIDE (PIC/OWNER)
(813) 598-0593
Entity
Organization
Contact information
Practice address
6520 US HIGHWAY 301 S, SUITE 106, RIVERVIEW, FL 33578-4347
(813) 598-0593
Mailing address
6520 US HIGHWAY 301 S, SUITE 106, RIVERVIEW, FL 33578-4347
(813) 598-0593
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26712
FL
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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