Live & Learn Compounding Pharmacy

LBN: Mitchell Custom Care
Live & Learn Compounding Pharmacy is an health care organization with primary practice located at 13224 Boyette Rd , Riverview FL 33569-5702. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Mitchell Custom Care can be contacted via phone (813) 341-1050, or through Wydetic, Leott via phone (813) 341-1050.

Contact Information

Primary practice address
13224 Boyette Rd Riverview FL 33569-5702
Fax: (813) 341-1051
Website:
Authorized official contact:
Name: Wydetic, Leott PHRMD

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X PH23267 Florida

Profile Details

NPI number 1720246663
LBN Legal business name Mitchell Custom Care
DBA Doing business as Live & Learn Compounding Pharmacy
Authorized official Wydetic, Leott PHRMD
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2008
Last updated Apr 1st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720246663 NPPES
Other 2011692 PK

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