Organization
FELKY RX LLC
Active
Other names
FELKY RX
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL MEKOWULU PHARMACY (PRESIDENT)
(813) 508-2090
Entity
Organization
Contact information
Practice address
14510 N FLORDIA AVENUE, TAMPA, FL 33613
(813) 264-0777
(813) 264-0329
Mailing address
PO BOX 17507, TAMPA, FL 33682-7507
(813) 264-0777
(813) 264-0329
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH23147
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032496500
—
FL
01
—
1032010
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/28/2008
Last updated
05/25/2010
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