Southeast Compounding Pharmacy

LBN: Southeast Compounding Pharmacy
Southeast Compounding Pharmacy is an health care organization with primary practice located at 3906 Cragmont Dr , Tampa FL 33619. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Southeast Compounding Pharmacy can be contacted via phone (813) 644-7700, or through Shafor, Michael Gordon via phone (813) 644-7700.

Contact Information

Primary practice address
3906 Cragmont Dr Tampa FL 33619
Phone: (813) 644-7700
Fax: (813) 644-7067
Website:
Map and Directions
Authorized official contact:
Name: Shafor, Michael Gordon PHARM.D
Phone: (813) 644-7700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X PH27068 Florida

Profile Details

NPI number 1992132377
LBN Legal business name Southeast Compounding Pharmacy
DBA Doing business as
Authorized official Shafor, Michael Gordon PHARM.D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2013
Last updated Oct 1st, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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