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NPI Code Detail

MEDICARE: HUDSON DRUGS LLC

MEDICARE: HUDSON DRUGS 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
13336C0003XCommunity/Retail Pharmacy
23336C0003XCommunity/Retail PharmacyPH 23728FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11040283OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841435914
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUDSON DRUGS LLC
Provider Business Mailing Address
First Line : 7211 N DALE MABRY HWY STE 101
Second Line :
City : TAMPA
State : FL
Zip : 33614-2669
Country : US
Telephone Number : 813-961-5790
Fax Number :
Provider Business Practice Location Address
First Line : 7211 N DALE MABRY HWY STE 101
Second Line :
City : TAMPA
State : FL
Zip : 33614-2669
Country : US
Telephone Number : 813-961-5790
Fax Number :
Authorized Official
Title or Position : RX MANAGER / OWNER
Name : DHAVAL ZAVERI
Credential :
Telephone Number : 813-961-5790
Provider Enumeration Date : 12/03/2008
Last Update Date : 07/15/2019

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Directions to “HUDSON DRUGS LLC ” Practice Location

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