Organization
PRESTIGERX PHARMACY LLC
Active
Other names
PRESTIGERX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANKUR A PARIKH RPH (PHARMACY MANAGER)
(904) 386-6785
Entity
Organization
Contact information
Practice address
7200 NORMANDY BLVD, SUITE 4, JACKSONVILLE, FL 32205-6287
(904) 386-6785
(904) 592-6580
Mailing address
7200 NORMANDY BLVD, SUITE 4, JACKSONVILLE, FL 32205-6287
(904) 386-6785
(904) 592-6580
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25464
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH25464
PHARMACY LICENCE
FL
Enumeration date
05/16/2011
Last updated
05/16/2011
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