Organization
EZ RX PHARMACY LLC
Active
Other names
EZ RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE VALDES (PHARMACY OPERATIONS)
(813) 960-2020
Entity
Organization
Contact information
Practice address
6916 W LINEBAUGH AVE, SUITE 101, TAMPA, FL 33625-5815
(813) 960-2020
(813) 960-2044
Mailing address
PO BOX 340869, TAMPA, FL 33694-0869
(813) 960-2020
(813) 960-2044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23494
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036486
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/22/2008
Last updated
10/03/2011
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