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NPI Code Detail

MEDICARE: TAMPA ROAD PHARMACY

MEDICARE: TAMPA ROAD PHARMACY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistPH28008FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215335948
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAMPA ROAD PHARMACY
Provider Business Mailing Address
First Line : 2488 JOHNNA CT
Second Line :
City : PALM HARBOR
State : FL
Zip : 34685-2031
Country : US
Telephone Number : 347-816-2198
Fax Number :
Provider Business Practice Location Address
First Line : 3705 TAMPA RD
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-6300
Country : US
Telephone Number : 347-816-2198
Fax Number :
Authorized Official
Title or Position : REGISTERED PHARMACIST
Name : MR. GEORGE SHENOUDA
Credential : RPH
Telephone Number : 347-816-2198
Provider Enumeration Date : 12/11/2014
Last Update Date : 12/11/2014

Similar Medicare Providers

1417956293 — HOWARD N CHIPMAN III M.D.
Practice Location Address:
3705 TAMPA RD , STE 22
OLDSMAR, FL
34677-6300
Practice Phone: 813-891-6343
Practice Fax: 813-891-6342
1417957325 — ATLANTIS CLINIC PA
Practice Location Address:
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1831886001 — SEAN WORIX PA-C
Practice Location Address:
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Practice Fax: 813-891-6342
1043660525 — YOUSSEF RIAD D.D.S
Practice Location Address:
301 WOODLANDS PKWY STE 6
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Practice Phone: 727-784-0929
Practice Fax:
1669049243 — JENNIFER KELSEY BELTZ DMD
Practice Location Address:
4009 TAMPA RD STE 6
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Practice Fax:
1699772681 — JOEL IRA FRANCK MD.
Practice Location Address:
3180 CURLEW ROAD , SUITE 106
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Practice Phone: 850-778-1547
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Directions to “TAMPA ROAD PHARMACY ” Practice Location

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