Organization
PAS RX LLC
Active
Other names
HEALTH MART PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PARAG SHAH (OWNER/MANAGER)
(813) 857-6286
Entity
Organization
Contact information
Practice address
2224 STATE ROAD 60 E, VALRICO, FL 33594-3703
(813) 681-7800
(813) 681-7833
Mailing address
2224 STATE ROAD 60 E, VALRICO, FL 33594-3703
(813) 681-7800
(813) 681-7833
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5702697
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/22/2010
Last updated
11/24/2010
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