Organization · NPI-2

A. Liliko'I Pharmacy

Pharmacy, Specialty Pharmacy · Tampa, FL

NPI number1518406487
StatusActive
Last updated in NPPESFeb 13, 2017

Details

NPI
1518406487
Entity type
Organization (NPI-2)
Legal business name
A. Liliko'I Pharmacy
Organization subpart
No
Enumeration date
Feb 13, 2017
Last updated
Feb 13, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336S0011X Pharmacy, Specialty Pharmacyph30612FLYes
3336C0002X Pharmacy, Clinic Pharmacyph30612FL
3336C0003X Pharmacy, Community/Retail Pharmacyph30612FL

Other names

  • Lily Pharmacy (Doing Business As)

Practice location

2232 University Square Mall
Tampa, FL 33612

Phone 808-312-8738

Mailing address

2232 University Square Mall
Tampa, FL 33612

Authorized official

Kaycee Lynn Sutter
Owner
8083128738

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