Healthcare Provider Details

I. General information

NPI: 1275270738
Provider Name (Legal Business Name): TAMPA PHARMACY 13 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38160 MEDICAL CENTER AVE STE 103
ZEPHYRHILLS FL
33540-1380
US

IV. Provider business mailing address

2812 W DR. MARTIN LUTHER KING JR. BLVD
TAMPA FL
33607
US

V. Phone/Fax

Practice location:
  • Phone: 813-644-7277
  • Fax: 813-875-4000
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: HARDIKKUMAR PATEL
Title or Position: OWNER
Credential:
Phone: 973-362-6086