Provider Demographics
NPI:1528471786
Name:ABSOLUTE PHARMACY LLC
Entity type:Organization
Organization Name:ABSOLUTE PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CLURMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:813-999-2700
Mailing Address - Street 1:16011 N NEBRASKA AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-6158
Mailing Address - Country:US
Mailing Address - Phone:813-999-2700
Mailing Address - Fax:888-831-4818
Practice Address - Street 1:16011 N NEBRASKA AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-6158
Practice Address - Country:US
Practice Address - Phone:813-999-2700
Practice Address - Fax:888-831-4818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH281223336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy