Organization
ADYA LLC
Active
Other names
SmartCare RX
Organization subpart
No
Provider details
NPI number
Authorized official
SHASANKA REDDY THUMU (MANAGING MEMBER)
(407) 337-5250
Entity
Organization
Contact information
Practice address
1572 CITRUS MEDICAL CT, OCOEE, FL 34761-4547
(407) 337-5250
(407) 337-5251
Mailing address
1572 CITRUS MEDICAL CT, OCOEE, FL 34761-4547
(407) 337-5250
(407) 337-5251
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32968
COMMUNITY RETAIL
FL
Enumeration date
10/21/2020
Last updated
08/04/2023
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