Organization
ECKERDS RX 107 LLC
Active
Organization
ECKERDS RX 107 LLC
Active
Other names
ECKERDS PHARMACY 107
Organization subpart
No
Provider details
NPI number
Authorized official
VIKRAM RAO (PRESIDENT)
(941) 538-7122
Entity
Organization
Contact information
Practice address
710 N BREVARD AVE, ARCADIA, FL 34266-8778
(863) 485-4150
(863) 485-4151
Mailing address
710 N BREVARD AVE, ARCADIA, FL 34266-8778
(863) 485-4150
(863) 485-4151
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105110600
—
FL
05
—
105110601
—
FL
Enumeration date
11/04/2019
Last updated
10/28/2025
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