Provider Demographics
NPI:1578636288
Name:TAMPA RX
Entity Type:Organization
Organization Name:TAMPA RX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:YUVAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-931-9212
Mailing Address - Street 1:2301 NW 33RD CT STE 111
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33069-1000
Mailing Address - Country:US
Mailing Address - Phone:954-931-9212
Mailing Address - Fax:954-601-2400
Practice Address - Street 1:206 W ORANGE ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-3118
Practice Address - Country:US
Practice Address - Phone:954-931-9212
Practice Address - Fax:954-601-2400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH 22097333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy