Organization
AADESH RX LLC
Active
Other names
ECKERDS PHARMACY 102
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM BACHUBHAI RAO (PRESIDENT)
(863) 774-3536
Entity
Organization
Contact information
Practice address
907 10TH ST E, PALMETTO, FL 34221-4131
(941) 404-4121
(941) 404-4122
Mailing address
907 10TH ST E, PALMETTO, FL 34221-4131
(941) 404-4121
(941) 404-4122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25225
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003307900
—
FL
01
—
2128173
PK
—
Enumeration date
02/04/2011
Last updated
12/15/2020
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