Organization
EDWARDS PHARMACY OF INDIAN ROCKS LLC
Active
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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