Organization
AADESH RX LLC
Active
Other names
ECKERDS PHARMACY 101
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM RAO (PHARMACIST)
(941) 524-6545
Entity
Organization
Contact information
Practice address
518 S 6TH AVE, WAUCHULA, FL 33873-3211
(863) 774-3536
(863) 774-3538
Mailing address
518 S 6TH AVE, WAUCHULA, FL 33873-3211
(863) 774-3536
(863) 774-3538
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25125
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003090900
—
FL
05
—
003090901
—
FL
01
—
2128063
PK
—
05
—
NH102089
—
NH
Enumeration date
12/20/2010
Last updated
03/01/2022
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