Organization
RUDRAKRUPA LLC
Active
Other names
IMED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DHAVALKUMAR PATEL (PRESIDENT)
(813) 685-4444
Entity
Organization
Contact information
Practice address
1812 S PARSONS AVE, UNIT 104, SEFFNER, FL 33584-7201
(727) 698-0097
Mailing address
1812 S PARSONS AVE, UNIT 104, SEFFNER, FL 33584-7201
(813) 685-4444
(813) 685-4445
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29306
FL
Other
Enumeration date
08/14/2015
Last updated
08/14/2023
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