Organization
FILL RX LLC
Active
Other names
iPharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JIGAR PATEL (OWNER)
(386) 259-4074
Entity
Organization
Contact information
Practice address
776 DELTONA BLVD, DELTONA, FL 32725-7107
(386) 259-4074
(386) 259-9037
Mailing address
776 DELTONA BLVD, DELTONA, FL 32725-7107
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019544900
—
FL
Enumeration date
04/02/2024
Last updated
10/28/2024
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