Organization
RIYASH CHEMISTS INC
Active
Other names
FAIRWAY OAKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAKSHESH PATEL (PRESIDENT)
(727) 863-5600
Entity
Organization
Contact information
Practice address
13716 LITTLE RD, HUDSON, FL 34667-8024
(727) 863-5600
(727) 863-5644
Mailing address
15906 BADEN PL, TAMPA, FL 33647-1127
(813) 765-9720
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21773
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017094
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/19/2006
Last updated
06/27/2012
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