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Contact Information

WISDOM PHARMACY,LLC
4123 W HILLSBOROUGH AVE
SUITE C
TAMPA, FL33614
 Phone: 727-935-7039
 Fax: 727-935-1032
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WISDOM PHARMACY,LLC

NPI # 1407397524
LBN Legal business name WISDOM PHARMACY,LLC
Authorized official MARIA MICHAEIL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2017
Last updated 10/17/2024 - More than a year ago
Identifiers
FL License # PH30662
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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