Organization
HMV LLC
Active
Other names
Prime Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAMLESH RAJANI (OWNER/PIC/AO)
(727) 522-3222
Entity
Organization
Contact information
Practice address
4860 48TH AVE N, SAINT PETERSBURG, FL 33714-2836
(727) 522-3222
(727) 522-7111
Mailing address
4860 48TH AVE N, SAINT PETERSBURG, FL 33714-2836
(727) 522-3222
(727) 522-7111
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24197
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004321900
—
FL
01
—
2121434
PK
—
Enumeration date
08/13/2009
Last updated
11/17/2023
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