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Organization

RX SERVICES CORPORATION

Active
Other names
EDISON PRESCRIPTION SHOPPE
Organization subpart
No

Provider details

NPI number
Authorized official
BRUCE JACOBS RPH (VICE PRESIDENT PHARMACIST)
(239) 561-2757
Entity
Organization

Contact information

Practice address
2665 CLEVELAND AVE, #103, FORT MYERS, FL 33901-5850
(239) 561-2757
(239) 768-1292
Mailing address
6799 HIGHLAND PINES CIR, FORT MYERS, FL 33966-1378
(239) 561-2757
(239) 768-1292

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
Primary
PH10783
FL
3336C0003X
Community/Retail Pharmacy
3336C0004X
Compounding Pharmacy

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100617700
FL
05
100617701
FL
01
1062861
OTHER ID NUMBER-COMMERCIAL NUMBER
05
671486296
FL
Enumeration date
07/07/2005
Last updated
01/23/2009
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