Organization
MAXXYCOM INVESTMENT CORP
Active
Other names
Integra Rx, MAXXYCOM RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PARVINDER S KAINTH (PRESIDENT)
(727) 271-1984
Entity
Organization
Contact information
Practice address
1825 COLLIER PKWY, LUTZ, FL 33549-8718
(813) 406-4929
Mailing address
1825 COLLIER PKWY, LUTZ, FL 33549-8718
(813) 406-4929
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24351
FL
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
11/20/2009
Last updated
02/24/2020
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