Healthcare Provider Details

I. General information

NPI: 1932562121
Provider Name (Legal Business Name): KATIE NEFF-GOLUB PHARM.D., CGP, CPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 04/04/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 HENDERSON RD
TAMPA FL
33634-1143
US

IV. Provider business mailing address

8735 HENDERSON RD
TAMPA FL
33634-1143
US

V. Phone/Fax

Practice location:
  • Phone: 813-290-6200
  • Fax: 866-849-5074
Mailing address:
  • Phone: 813-290-6200
  • Fax: 866-849-5074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number43921
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number2938
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: