Organization
WICKHAM DISCOUNT PHARMACY LLC
Active
Organization
WICKHAM DISCOUNT PHARMACY LLC
Active
Other names
WICKHAM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANKIT SHAH RPH (OWNER, PHCY MGR, PIC)
(321) 241-6433
Entity
Organization
Contact information
Practice address
1060 N WICKHAM RD, MELBOURNE, FL 32935-8937
(321) 241-6433
(321) 241-6434
Mailing address
1060 N WICKHAM RD, MELBOURNE, FL 32935-8937
(321) 241-6433
(321) 241-6434
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010488000
—
FL
01
—
2142537
PK
—
Enumeration date
09/18/2013
Last updated
11/19/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up