Organization
ECKERDS RX 106 LLC
Active
Organization
ECKERDS RX 106 LLC
Active
Other names
ECKERDS PHARMACY 106
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIKRAM BACHUBHAI RAO BPHARM (PRESIDENT)
(941) 524-6545
Entity
Organization
Contact information
Practice address
120 CIRCLE WAY ST STE 7F, LAKE JACKSON, TX 77566-5222
(979) 341-9811
(979) 341-9822
Mailing address
120 CIRCLE WAY ST STE 7F, LAKE JACKSON, TX 77566-5222
(979) 341-9811
(979) 341-9822
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
32186
TX
333600000X
Pharmacy
32186
TX
3336C0003X
Community/Retail Pharmacy
Primary
32186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149901
—
TX
01
—
32186
BOARD OF PHARMACY
TX
Enumeration date
08/03/2018
Last updated
02/16/2022
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