Organization
URBAN SPECIALTY PHARMACY LLC
Active
Other names
URBAN SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PARESH SHUKLA R.PH. (OWNER)
(727) 327-9881
Entity
Organization
Contact information
Practice address
1617 34TH ST S STE A, ST PETERSBURG, FL 33711-2855
(727) 327-9881
(727) 327-9884
Mailing address
1617 34TH ST S STE A, ST PETERSBURG, FL 33711-2855
(727) 327-9881
(727) 327-9884
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25577
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017615400
—
FL
01
—
2131077
PK
—
Enumeration date
07/18/2011
Last updated
07/21/2022
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