Provider Demographics
NPI:1053305318
Name:FLORIDA DISCOUNT DRUGS
Entity Type:Organization
Organization Name:FLORIDA DISCOUNT DRUGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:OLUFEMI
Authorized Official - Middle Name:OLADAPO
Authorized Official - Last Name:ADEMOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-514-6800
Mailing Address - Street 1:1457 W BUSCH BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-7601
Mailing Address - Country:US
Mailing Address - Phone:813-514-6800
Mailing Address - Fax:813-514-6888
Practice Address - Street 1:1457 W BUSCH BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-7601
Practice Address - Country:US
Practice Address - Phone:813-514-6800
Practice Address - Fax:813-514-6888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH35392183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty