Organization
HEALTHCITE LLC
Active
Other names
Healthcite Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHYAM SUNDAR REDDY BUSIREDDY (OWNER)
(727) 637-6644
Entity
Organization
Contact information
Practice address
4500 W MIDWAY RD STE 105, FORT PIERCE, FL 34981-4823
(772) 742-2886
(772) 212-2747
Mailing address
4500 W MIDWAY RD STE 105, FORT PIERCE, FL 34981-4823
(772) 742-2886
(772) 212-2747
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH30370
FL
3336L0003X
Long Term Care Pharmacy
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Other
Enumeration date
10/26/2016
Last updated
11/02/2019
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