Organization
CIRQUE DU RX CORP
Active
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
Update your record
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