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MEDIPHARM-RXINC.(SPECIAL CLOSED SYSTEM) NPI 1942374012


NPI Information

NPI: 1942374012
Provider Name: MEDIPHARM-RX,INC.(SPECIAL CLOSED SYSTEM)
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4607 N CLARK AVE
TAMPA, FL
ZIP 33614
Phone: (813) 876-0881
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MEDIPHARM-RX,INC.(SPECIAL CLOSED SYSTEM) is a long term care pharmacy pharmacy in Tampa, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MEDIPHARM-RX,INC.(SPECIAL CLOSED SYSTEM) NPI is 1942374012. The provider is registered as an organization entity type.

The provider's business location address is:

4607 N CLARK AVE
TAMPA, FL
ZIP 33614-038
Phone: (813) 876-0881
Fax: (813) 876-0883

The provider's authorized official is Diane L Ellis .
The authorized official title is Pharmacist In Charge and has the following contact phone number (813) 876-0881.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyPH21000FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PH21000OTHERFLORIDAFLORIDA PHARMACY LICENSE

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: 4/28/2024

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