Southshore Pharmacy, Inc.

NPI #1710381694 in Gibsonton, Florida

Provider Information

NPI Number
1710381694
Entity Type
Organization
Organization Name
Southshore Pharmacy, Inc.
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Oct 21, 2014
Last Updated
Sep 11, 2015

Practice Location

Address
13127 KINGS LAKE DR.
Address 2
UNIT 102
State
Florida
ZIP Code
33534-3958
Phone
(813) 672-9600

Authorized Official

Name
MR. DAVID A FLAX
Title
OWNER
Phone
(863) 712-3064

Specialties & Taxonomy Codes

Specialty
Pharmacy - Compounding PharmacyCompounding Pharmacy

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