Organization
WESLEY CHAPEL RX LLC
Active
Other names
Wesley Chapel Rx
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
2653 BRUCE B DOWNS BLVD STE 115, WESLEY CHAPEL, FL 33544-9206
(813) 991-9200
(813) 991-1900
Mailing address
2653 BRUCE B DOWNS BLVD, STE 115, WESLEY CHAPEL, FL 33544
(813) 991-9200
(813) 991-1900
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29362
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015848200
—
FL
01
—
2153954
PK
—
Enumeration date
09/09/2015
Last updated
08/25/2020
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