Organization · Type 2 NPI
Tommy L Louisville MD PA
Non-Pharmacy Dispensing Site · Polk City, FL
NPI number
1508274226
Active
Practice location
235 N Commonwealth Ave
Polk City, FL 33868-8821
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | ME91882 (FL) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
About NPI 1508274226
Tommy L Louisville MD PA's National Provider Identifier is 1508274226, issued on Jul 25, 2014. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Polk City, FL. The record was last updated on Jul 25, 2014.