Organization
RX-MART PHARMACY LLC
Active
Other names
Rx-Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SWAPNA KONDU RPH (PIC)
(904) 342-2162
Entity
Organization
Contact information
Practice address
665 STATE ROAD 207, SUITE 101, ST AUGUSTINE, FL 32084-5938
(904) 342-2162
(904) 547-2732
Mailing address
665 STATE ROAD 207, SUITE 101, ST AUGUSTINE, FL 32084-5938
(904) 342-2162
(904) 547-2732
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH27104
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010548300
—
FL
01
—
2142731
PK
—
Enumeration date
11/06/2013
Last updated
06/02/2015
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