Provider Demographics
NPI:1730074964
Name:TITA PHARMA 2 LLC
Entity type:Organization
Organization Name:TITA PHARMA 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:NJI
Authorized Official - Last Name:TITA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:813-402-2430
Mailing Address - Street 1:2425 S DALE MABRY HWY STE D
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-6840
Mailing Address - Country:US
Mailing Address - Phone:813-402-2430
Mailing Address - Fax:813-402-2431
Practice Address - Street 1:2425 S DALE MABRY HWY STE D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-6840
Practice Address - Country:US
Practice Address - Phone:813-402-2430
Practice Address - Fax:813-402-2431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy