Tommy L Louisville Md Pa
Non-pharmacy Dispensing Site
320 1st St S, Winter Haven
Florida, 33880-3501
863-299-8485 Tommy L Louisville Md Pa is a Non-pharmacy Dispensing Site in Winter Haven, Florida. This organization is also known as sub part of Medvantx, Inc.. It is located at 320 1st St S, Winter Haven and it's customer support contact number is 863-299-8485. The authorized person of Tommy L Louisville Md Pa is Kenny Heine who is Vp Of Operations of the pharmacy and his contact number is 858-964-1506. Active license number of Tommy L Louisville Md Pa is ME37525 for Non-pharmacy Dispensing Site in Florida.
Tommy L Louisville Md Pa is 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.)
Pharmacy Details:
Tommy L Louisville Md Pa type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Tommy L Louisville Md Pa |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 320 1st St S, Winter Haven,
Florida, 33880-3501 |
| Phone: | 863-299-8485 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Vp Of Operations |
| Contact Number: | 858-964-1506 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1093123838 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 24 Jul, 2014 |
| NPI Last Update On: | 24 Jul, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tommy L Louisville Md Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | ME37525 | Florida | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5626 Oberlin Dr, Suite 110
San Diego, California |
| Zip: | 92121-1705 |
| Phone Number: | -- |
Patients can reach Tommy L Louisville Md Pa at
320 1st St S, Winter Haven, Florida or can
call on customer care at 863-299-8485.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.