Organization
TLCRX1 LLC
Active
Other names
Friends Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUPESH SHAH (OWNER)
(813) 444-5838
Entity
Organization
Contact information
Practice address
1714 SW 17TH ST, OCALA, FL 34471-1227
(352) 644-6779
(352) 644-6760
Mailing address
601 S HARBOUR ISLAND BLVD STE 200, TAMPA, FL 33602-5925
(352) 644-6779
(352) 644-6760
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23731
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000702300
—
FL
01
—
2118172
PK
—
Enumeration date
11/27/2008
Last updated
02/06/2023
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