Organization
A CHEM RX LLC
Active
Other names
cortez drugs
Organization subpart
No
Provider details
NPI number
Authorized official
ANISH CHEMPARATHY (OWNER/MANAGER)
(352) 592-1320
Entity
Organization
Contact information
Practice address
12116 CORTEZ BLVD, BROOKSVILLE, FL 34613-5514
(352) 592-1320
(352) 592-1321
Mailing address
12116 CORTEZ BLVD, BROOKSVILLE, FL 34613-5514
(352) 592-1320
(352) 592-1321
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002127800
—
FL
01
—
2124531
PK
—
Enumeration date
07/30/2006
Last updated
07/21/2016
About Stedi
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