Organization
RISSAN INC
Active
Other names
SAFESCRIPT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TEJAS GANDHI (VP)
(352) 793-8000
Entity
Organization
Contact information
Practice address
211 N MARKET ST, BUSHNELL, FL 33513-6108
(352) 793-8000
(352) 793-8007
Mailing address
211 N MARKET ST, BUSHNELL, FL 33513-6108
(352) 793-8000
(352) 793-8007
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26400
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5712131
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/08/2012
Last updated
09/08/2020
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