Organization
HVVP RX LLC
Active
Other names
Prime Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VIKAS GHIYA BS(PHARMACY) (PHARMACY MANAGER)
(813) 955-7777
Entity
Organization
Contact information
Practice address
10010 CROSS CREEK BLVD, TAMPA, FL 33647-2595
(813) 955-7777
(813) 557-3333
Mailing address
10010 CROSS CREEK BLVD, TAMPA, FL 33647-2595
(813) 955-7777
(727) 398-1992
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH24141
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017428800
—
FL
Enumeration date
06/26/2009
Last updated
11/01/2019
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