Organization
BROOKSVILLE RX LLC
Active
Other names
Brooksville Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
HARDIKKUMAR PATEL (OWNER)
(813) 328-3970
Entity
Organization
Contact information
Practice address
80 PONCE DE LEON BLVD, BROOKSVILLE, FL 34601
(352) 796-4975
(352) 799-8307
Mailing address
2812 W. DR MLK JR BLVD, TAMPA, FL 33607
(813) 328-3970
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/06/2022
Last updated
08/13/2024
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