Organization
LIFE SAVERX
Active
Other names
Life SaveRx, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL CACERES (CEO/OWNER)
(813) 283-1131
Entity
Organization
Contact information
Practice address
207 E ROBERTSON ST STE B, BRANDON, FL 33511-5254
(813) 283-1131
(813) 489-1789
Mailing address
207 E ROBERTSON ST, SUITE B, BRANDON, FL 33511-5254
(813) 283-1131
(813) 489-1789
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH24913
FL
3336I0012X
Institutional Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5702077
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/30/2010
Last updated
02/04/2011
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