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Tommy L Louisville Md Pa
Non-Pharmacy Dispensing Site in Polk City, Florida
NPI 1508274226

Tommy L Louisville Md Pa is a Non-Pharmacy Dispensing Site based in San Diego, FL. Tommy L Louisville Md Pa practices in Polk City, FL. The NPI Number for Tommy L Louisville Md Pa is 1508274226 and holds a License No. ME91882 (Florida).

The current practice location address for Tommy L Louisville Md Pa is 235 N Commonwealth Ave, Polk City, FL and can be reached out via phone at 863-984-8000.

Location: 235 N Commonwealth Ave, Polk City, FL, 92121-1705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508274226
Provider Name
Tommy L Louisville Md Pa
Credential
Provider Entity Type
Organization
Address
235 N Commonwealth Ave, Polk City, FL, 92121-1705
Phone Number
863-984-8000
Fax Number
Provider Enumeration Date
07/25/2014
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
235 N Commonwealth Ave
City
Polk City
State
Florida
Zip
33868-8821
Phone Number
863-984-8000
Fax Number
person
Provider Business Mailing Address Details
Address
235 N Commonwealth Ave
City
Polk City
State
Florida
Zip
33868-8821
Phone Number
863-984-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
ME91882 (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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