Organization
CIRQUE DU RX CORP
Active
Other names
Dollex Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ADOLPHUS AKANIRU RPH (OWNER, PIC, AO)
(813) 971-5551
Entity
Organization
Contact information
Practice address
7758 PALM RIVER RD, TAMPA, FL 33619-4215
(813) 971-5551
(813) 979-1888
Mailing address
7758 PALM RIVER RD, TAMPA, FL 33619-4215
(813) 971-5551
(813) 979-1888
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004664600
—
FL
01
—
2120160
PK
—
Enumeration date
03/11/2009
Last updated
09/30/2019
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