Organization
RX CARE FOUR LLC
Active
Other names
Palm Bay Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (OWNER)
(813) 304-2221
Entity
Organization
Contact information
Practice address
1270 MALABAR RD SE, STE 2, PALM BAY, FL 32907-3407
(321) 952-0656
(321) 952-0780
Mailing address
1270 MALABAR RD SE, SUITE 2, PALM BAY, FL 32907
(321) 952-0656
(321) 952-0780
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26556
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007257600
—
FL
01
—
2138052
PK
—
Enumeration date
04/06/2006
Last updated
08/25/2020
Update your record
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