Organization
RISSAN INC
Active
Other names
Safescript Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TEJAS GANDHI (VP)
(352) 978-8282
Entity
Organization
Contact information
Practice address
342 SHOPPING CENTER DR, WILDWOOD, FL 34785-4533
(352) 748-9900
(352) 748-9902
Mailing address
342 SHOPPING CENTER DR, WILDWOOD, FL 34785-4533
(352) 748-9900
(352) 748-9902
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26331
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2136724
PK
—
Enumeration date
08/30/2012
Last updated
07/27/2016
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