Organization
JSK RX LLC
Active
Other names
Valrico Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PARAG SHAH (OWNER)
(813) 681-7800
Entity
Organization
Contact information
Practice address
2224 E STATE ROAD 60, VALRICO, FL 33594-3703
(813) 681-7800
(813) 681-7833
Mailing address
2224 E STATE ROAD 60, VALRICO, FL 33594-3703
(813) 681-7800
(813) 681-7833
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH23823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118635
PK
—
Enumeration date
01/23/2009
Last updated
03/17/2017
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