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MEDOZ PHARMACY OF POLK INC NPI 1962809475


NPI Information

NPI: 1962809475
Provider Name: MEDOZ PHARMACY OF POLK INC
Classification: Pharmacy - 3336C0004X
Entity Type: Organization

Specialization: Compounding Pharmacy

CLIA Number: 10D2131749

Address:
40230 US HIGHWAY 27
#100-110
DAVENPORT, FL
ZIP 33837
Phone: (855) 633-6948
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MEDOZ PHARMACY OF POLK INC is a compounding pharmacy pharmacy in Davenport, 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. MEDOZ PHARMACY OF POLK INC NPI is 1962809475. The provider is registered as an organization entity type.

The provider's business location address is:

40230 US HIGHWAY 27
#100-110
DAVENPORT, FL
ZIP 33837
Phone: (855) 633-6948
Fax: (844) 329-6348

The provider's authorized official is Tushar Palan .
The authorized official title is President and has the following contact phone number (855) 633-6948.

The CLIA number assigned to this NPI record is 10D2131749 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2014 and was last updated on 11/26/2014.


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
13336C0004XPharmacyCompounding PharmacyPH28725FLORIDAYes

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
1PH28725OTHERFLORIDAPHARMACY

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: 5/5/2024

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