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Organization

RX CARE OF TAMPA, LLC

Active
Other names
Metro Inclusive Pharmacy LLC
Organization subpart
No

Provider details

NPI number
Authorized official
RAJWANTIE RAJKUMAR (CHIEF EXECUTIVE OFFICER)
(727) 321-3854
Entity
Organization

Contact information

Practice address
2235 CENTRAL AVE STE A, ST PETERSBURG, FL 33713-8844
(813) 249-6593
(727) 748-4277
Mailing address
701 94TH AVE N STE 250, ST PETERSBURG, FL 33702-2448
(727) 321-3854
(727) 748-4277

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
3336C0003X
Community/Retail Pharmacy
PH24764
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003254200
FL
01
003254201
MEDICAID DME
FL
05
003254201
FL
01
2128291
PK
Enumeration date
02/04/2011
Last updated
03/05/2024
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