Healthcare Provider Details
I. General information
NPI: 1205554219
Provider Name (Legal Business Name): HEALTH MATTERS PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2022
Last Update Date: 11/21/2023
Certification Date: 11/21/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5110 N 40TH ST
TAMPA FL
33610-5204
US
IV. Provider business mailing address
5110 N 40TH ST
TAMPA FL
33610-5204
US
V. Phone/Fax
- Phone: 813-800-6337
- Fax: 813-333-1433
- Phone: 813-800-6337
- Fax: 813-333-1433
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VONDALYN
WRIGHT
Title or Position: OWNER
Credential:
Phone: 813-800-6337