Organization
POSITIVERX
Active
Other names
POSITIVERX
Organization subpart
No
Provider details
NPI number
Authorized official
IGDALIAH JACKSON (PRESIDENT)
(610) 333-0131
Entity
Organization
Contact information
Practice address
1420 W WATERS AVE # 1, TAMPA, FL 33604-2830
(844) 767-6337
(844) 663-8225
Mailing address
1420 W WATERS AVE # 1, TAMPA, FL 33604-2830
(844) 767-6337
(844) 663-8225
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30998
FL
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2171604
PK
—
Enumeration date
09/11/2017
Last updated
07/19/2018
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