Provider Demographics
NPI:1700291606
Name:NORTH TAMPA PHARMACY, INC
Entity Type:Organization
Organization Name:NORTH TAMPA PHARMACY, INC
Other - Org Name:DADE CITY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMAAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-437-4843
Mailing Address - Street 1:14125 7TH ST
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33525-4204
Mailing Address - Country:US
Mailing Address - Phone:352-437-4843
Mailing Address - Fax:352-437-4859
Practice Address - Street 1:14125 7TH ST
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33525-4204
Practice Address - Country:US
Practice Address - Phone:352-437-4843
Practice Address - Fax:352-437-4859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH280643336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy