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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