Provider Demographics
NPI:1831923275
Name:ERXHUB
Entity type:Organization
Organization Name:ERXHUB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:HAI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:813-857-7165
Mailing Address - Street 1:13940 N DALE MABRY HWY STE C
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2423
Mailing Address - Country:US
Mailing Address - Phone:800-311-5805
Mailing Address - Fax:
Practice Address - Street 1:13940 N DALE MABRY HWY STE C
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2423
Practice Address - Country:US
Practice Address - Phone:800-311-5805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-28
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH35276OtherFL DEPT OF HEALTH