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Organization
RX CARE OF LA INC
Active
Organization
RX CARE OF LA INC
Active
Other names
Country Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RIVERA (LICENSING SPECIALIST)
(813) 304-2221
Entity
Organization
Contact information
Practice address
202 SOUTH AVE, STE A, VIVIAN, LA 71082-3209
(318) 375-3784
(318) 375-5009
Mailing address
5908 BRECKENRIDGE PARKWAY, TAMPA, FL 33610
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
PHY6524
LA
3336C0004X
Compounding Pharmacy
—
NULL
Other
Enumeration date
04/25/2007
Last updated
07/10/2020
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