Provider Demographics
NPI:1013498070
Name:POTENS ALLERGY LLC
Entity Type:Organization
Organization Name:POTENS ALLERGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ZUBAIR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAFRULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM
Authorized Official - Phone:813-421-9998
Mailing Address - Street 1:8517 GUNN HWY
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-3207
Mailing Address - Country:US
Mailing Address - Phone:813-421-9998
Mailing Address - Fax:
Practice Address - Street 1:8108 OLD HIXON RD STE 107
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-2303
Practice Address - Country:US
Practice Address - Phone:813-534-2382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERTO GARCIA MD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-08-27
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH314563336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy