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Tommy L Louisville Md Pa
Non-Pharmacy Dispensing Site in Winter Haven, Florida
NPI 1093123838

Tommy L Louisville Md Pa is a Non-Pharmacy Dispensing Site based in San Diego, FL. Tommy L Louisville Md Pa practices in Winter Haven, FL. The NPI Number for Tommy L Louisville Md Pa is 1093123838 and holds a License No. ME37525 (Florida).

The current practice location address for Tommy L Louisville Md Pa is 320 1St St S, Winter Haven, FL and can be reached out via phone at 863-299-8485.

Location: 320 1St St S, Winter Haven, FL, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093123838
Provider Name
Tommy L Louisville Md Pa
Credential
Provider Entity Type
Organization
Address
320 1St St S, Winter Haven, FL, 92121-1705
Phone Number
863-299-8485
Fax Number
Provider Enumeration Date
07/24/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 1St St S
City
Winter Haven
State
Florida
Zip
33880-3501
Phone Number
863-299-8485
Fax Number
person
Provider Business Mailing Address Details
Address
320 1St St S
City
Winter Haven
State
Florida
Zip
33880-3501
Phone Number
863-299-8485
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
ME37525 (Florida)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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