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Contact Information

MEDIPHARM RX INC
4607 N CLARK AVE
TAMPA, FL33614-7038
 Phone: 813-876-0881
 Fax: 813-876-0883
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MEDIPHARM RX INC

NPI Number 1245275452
LBN Legal business name MEDIPHARM RX INC
Authorized official JOHN HAWES - (CHIEF PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/19/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
FL License # PH21000
FL Medicaid 7947131341
Other 1009251 OTHER ID NUMBER-COMMERCIAL NUMBER
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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