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General NPI Number Information
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NPI Number | 1912146507
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Entity Type | Organization
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Legal Business Name | NORTH TAMPA PHARMACY INC
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 6634 RIDGE RD
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City | PORT RICHEY
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State | FL
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Zip | 34668-6837
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Country | US
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Telephone | 727-387-8228
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Fax | 888-814-4575
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Provider Business Mailing Address
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Address Line | PO BOX 17175
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City | TAMPA
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State | FL
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Zip | 33682-7175
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | STEPHEN O BANJOKO
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Credential |
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Telephone | 813-341-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | PH23820
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License Number State | FL
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