Organization
ROYAL RX PHARMACY INC
Active
Other names
ROYAL RX PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
RAENEISSA DIAZ PHARMD (PHARMACY MANAGER)
(813) 980-6334
Entity
Organization
Contact information
Practice address
4941 E BUSCH BLVD, STE 240, TAMPA, FL 33617-6056
(813) 980-6334
(813) 980-6338
Mailing address
4941 E BUSCH BLVD, STE 240, TAMPA, FL 33617-6056
(813) 980-6334
(813) 980-6338
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH20046
FL
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026883600
—
FL
01
—
2008586
PK
—
Enumeration date
09/21/2006
Last updated
09/26/2017
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