MEDICARE: BUSCH PHARMACY LLC

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
1	3336C0003X	Community/Retail Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH23458	FL

General Provider Information

NPI Number	:	1609038926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUSCH PHARMACY LLC

Provider Business Mailing Address
First Line	:	7009 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-5252
Country	:	US
Telephone Number	:	813-990-8300
Fax Number	:	813-990-8380

Provider Business Practice Location Address
First Line	:	7009 N ARMENIA AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-5252
Country	:	US
Telephone Number	:	813-990-8300
Fax Number	:	813-990-8380

Authorized Official
Title or Position	:	MANAGER
Name	:	NIRAV (NICK) PATEL
Credential	:
Telephone Number	:	813-784-3085

Provider Enumeration Date	:	06/27/2008
Last Update Date	:	09/27/2024

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Directions to “BUSCH PHARMACY LLC ” Practice Location

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