Absolute Pharmacy, LLC

Organization Active NPI Pharmacy · Lutz, FL

NPI 1376957985 · NPPES record last updated Jun 12, 2014

Key facts

NPI
1376957985
Entity type
Organization (NPI type 2)
Primary specialty
Pharmacy 333600000X
License
FLPH28122 (FL)
Legal business name
ABSOLUTE PHARMACY, LLC
Practice address
16011 N. Nebraska Ave
Suite 103
Lutz, FL 33549
Phone
(813) 999-2700
Fax
(813) 999-2701
NPI assigned
Jun 12, 2014
Organization subpart
No

Authorized official

Name
Mr. Andreas Diefer Dettlaff
Title
President
Phone
(768) 239-7676

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Absolute Pharmacy LLC (2 organizations share this tax ID)

Locations

16011 N Nebraska Ave
Ste 103
Lutz, FL 33549
Phone (813) 999-2700

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X FLPH28122 FL Yes

Addresses

Primary practice location

16011 N. Nebraska Ave
Suite 103
Lutz, FL 33549

Mailing address

16011 N. Nebraska Ave
Suite 103
Lutz, FL 33549
Phone (813) 999-2700

Other providers in Lutz, FL

All providers in Lutz, FL · Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.