Organization
VALUE RX LLC
Active
Other names
Value Rx Brandon
Organization subpart
No
Provider details
NPI number
Authorized official
CHETAN SHAH (OWNER)
(727) 688-6149
Entity
Organization
Contact information
Practice address
141 N OAKWOOD AVE, BRANDON, FL 33510-4629
(813) 684-2300
(813) 684-3773
Mailing address
4001 W HENRY AVE, TAMPA, FL 33614-5542
(813) 712-5200
(813) 712-5237
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24382
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1052098
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/21/2009
Last updated
09/09/2010
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