Provider Demographics
NPI:1083914477
Name:PRONTO PHARMACY LLC
Entity Type:Organization
Organization Name:PRONTO PHARMACY LLC
Other - Org Name:PRONTO PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENT
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, DDS
Authorized Official - Phone:813-443-0970
Mailing Address - Street 1:1461 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:813-443-0970
Mailing Address - Fax:813-443-0971
Practice Address - Street 1:1461 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:813-443-0970
Practice Address - Fax:813-443-0971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH249443336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy