Organization
EZ RX PHARMACY LLC
Active
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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