Mitchell Custom Care
Compounding Pharmacy · Riverview, FL
Practice location
13224 Boyette RdRiverview, FL 33569-5702
- Phone
- (813) 341-1050
- Fax
- (813) 341-1051
NPI record
- NPI
- 1720246663
- Entity type
- Organization (Type 2)
- Enumeration date
- May 28, 2008
- Last updated
- April 1, 2016
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Compounding Pharmacy Primary | 3336C0004X |
PH23267 | FL |
| Pharmacy | 333600000X |
— | — |
| Community/Retail Pharmacy | 3336C0003X |
— | — |
Authorized official
- Name
- Leott Wydetic, PHRMD
- Title
- Owner
- Phone
- (813) 341-1050
Other names
- Live & Learn Compounding Pharmacy
About Mitchell Custom Care
Mitchell Custom Care is a healthcare organization registered in the NPI registry with the primary taxonomy Compounding Pharmacy (code 3336C0004X). The practice location is 13224 Boyette Rd, Riverview, FL 33569-5702. The NPI number 1720246663 was assigned on May 28, 2008 and the record was last updated on April 1, 2016.
Mitchell Custom Care lists a license in the registry: #PH23267 (FL) for Compounding Pharmacy. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Leott Wydetic, PHRMD, Owner.
Frequently asked questions
What is the NPI number of Mitchell Custom Care?
The NPI number is 1720246663.
What is the phone number of Mitchell Custom Care?
The phone number listed for the practice location is (813) 341-1050.
Where is Mitchell Custom Care located?
13224 Boyette Rd, Riverview, FL 33569-5702.
What is the taxonomy code for Mitchell Custom Care?
The primary taxonomy code is 3336C0004X – Compounding Pharmacy; 2 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.