Unknown Individual – Long Term Care Pharmacy, NPI 1104861764
Long Term Care Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 77030
MINNEAPOLIS, MN 554807730
Phone: (253) 218-0830
Fax: (253) 217-4306
Type: Mailing
5707, North 22nd Street, Tampa, Hillsborough County, Florida, 33610, United States
TAMPA, FL 336104350
Phone: (813) 272-2878
Fax: (813) 231-3108
Type: Location
707 S GRADY WAY STE 700
RENTON, WA 980573243
Phone: (253) 218-0830
Fax: (253) 217-4306
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55480)
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