Organization
EDWARDS PHARMACY OF INDIAN ROCKS LLC
Active
Other names
Benzer Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (PHARMACY OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
12071 INDIAN ROCKS RD, LARGO, FL 33774-3216
(727) 724-4171
(727) 216-6259
Mailing address
5908 BRECKENRIDGE PARKWAY, TAMPA, FL 33610
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24985
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002712500
—
FL
01
—
2119240
PK
—
Enumeration date
02/06/2009
Last updated
09/05/2019
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