Organization
HVVP RX LLC
Active
Other names
Prime Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIKAS GHIYA (PHARMACY MANAGER)
(727) 398-1969
Entity
Organization
Contact information
Practice address
10720 PARK BLVD STE E, SEMINOLE, FL 33772-5461
(727) 398-1969
Mailing address
10720 PARK BLVD STE E, SEMINOLE, FL 33772-5461
(727) 398-1969
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
PH24141
FL
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046641
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/02/2009
Last updated
07/02/2009
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