Organization
ADVANCED RX DERM, LLC
Active
Other names
Advanced Rx Pharmacy 027
Organization subpart
No
Provider details
NPI number
Authorized official
PARVINDER S KAINTH (MANAGER)
(407) 753-6310
Entity
Organization
Contact information
Practice address
7500 GULF BLVD, ST PETE BEACH, FL 33706-1821
(407) 753-6310
(844) 566-0501
Mailing address
PO BOX 1730, LUTZ, FL 33548-1730
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28614
FL
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/04/2014
Last updated
05/29/2020
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