MITCHELL CUSTOM CARE NPI 1720246663

NPI Information

  • NPI: 1720246663
  • Provider Name: MITCHELL CUSTOM CARE
  • Classification: Pharmacy - 3336C0004X
  • Specialization: Compounding Pharmacy
  • Entity Type: Organization
  • Doing Business As: LIVE & LEARN COMPOUNDING PHARMACY
  • Address: 13224 BOYETTE RD
    RIVERVIEW, FL
    ZIP 33569
  • Phone: (813) 341-1050

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NPI Details

MITCHELL CUSTOM CARE is a compounding pharmacy pharmacy in Riverview, FL. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. MITCHELL CUSTOM CARE NPI is 1720246663. The provider is registered as an organization entity type.
The provider Is Doing Business As Live & Learn Compounding Pharmacy.

The provider's business location address is:

13224 BOYETTE RD
RIVERVIEW, FL
ZIP 33569-702
Phone: (813) 341-1050
Fax: (813) 341-1051

The provider's authorized official is Leott Wydetic .
The authorized official title is Owner and has the following contact phone number (813) 341-1050.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 4/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail PharmacyNo
33336C0004XPharmacyCompounding PharmacyPH23267FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12011692OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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