Organization
VRA ENTERPRISES, LLC
Active
Other names
Precision RX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIRGIL A VALDES JR. (MANAGING MEMBER)
(813) 362-9993
Entity
Organization
Contact information
Practice address
12617 RACE TRACK RD, TAMPA, FL 33626-1331
(813) 362-9993
Mailing address
12617 RACE TRACK RD, TAMPA, FL 33626-1331
(813) 362-9993
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH27669
FL
3336C0004X
Compounding Pharmacy
PH27669
FL
Other
Enumeration date
03/14/2014
Last updated
03/06/2020
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