Southeast Quality Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

SOUTHEAST QUALITY PHARMACY LLC

Doing business as

AnazaoHealth

Practice address

5401 Hangar CT
Tampa, FL 33634-5341

Phone

(813) 882-4500

NPI assigned

Mar 13, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hal Weaver

Title

President

Phone

(813) 882-4500

Specialties & licenses 2

Addresses

Other names 1

• AnazaoHealth Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1164281143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345339",
            "telephone_number": "813-882-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 HANGAR CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345341",
            "telephone_number": "813-882-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST QUALITY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-882-4500"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AnazaoHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Southers
• Brianne Kristin Southwell

• Compounding Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.