Organization
RDD PHARMACY LLC
Active
Other names
Rogers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALI SHAKIL (MEMBER)
(407) 216-6533
Entity
Organization
Contact information
Practice address
3063 MICHIGAN AVE, KISSIMMEE, FL 34744-1501
(407) 216-6533
Mailing address
3063 MICHIGAN AVE, KISSIMMEE, FL 34744-1501
(407) 216-6533
(407) 705-3528
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111049800
—
FL
Enumeration date
04/27/2021
Last updated
03/25/2022
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