Organization
T-RX PHARMACY
Active
Other names
T-Rx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY CORDISCO RPH (OWNER/PRESIDENT/PIC/AO)
(239) 989-9152
Entity
Organization
Contact information
Practice address
211 HANCOCK BRIDGE PKWY, CAPE CORAL, FL 33990-4021
(239) 677-4945
(239) 800-4854
Mailing address
211 HANCOCK BRIDGE PKWY, SUITE #7, CAPE CORAL, FL 33990-4021
(239) 677-4945
(239) 800-4854
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30057
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018258500
—
FL
01
—
2160507
PK
—
Enumeration date
04/20/2016
Last updated
03/30/2017
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