Organization
ECKERDS RX 108 LLC
Active
Other names
ECKERDS PHARMACY 108
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM RAO (PRESIDENT)
(941) 538-7122
Entity
Organization
Contact information
Practice address
17510 N US HIGHWAY 41, LUTZ, FL 33549-4571
(813) 499-9266
(813) 499-9277
Mailing address
17510 N US HIGHWAY 41 STE 102, LUTZ, FL 33549-4571
(813) 499-9266
(813) 499-9277
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32838
STATE LICENSE
FL
Enumeration date
08/03/2020
Last updated
11/25/2025
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