| NPI | 1265554562 |
|---|---|
| Doing Business As | WESTCHASE COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RENIER GOBEA Owner/Manager 813-925-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH20981) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2015-04-16 |