Organization
RX CARE 13 LLC
Active
Other names
Fuquay Varina Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA SHACKELFORD (PRESIDENT)
(813) 304-2221
Entity
Organization
Contact information
Practice address
305 N JUDD PKWY NE, FUQUAY VARINA, NC 27526-2370
(919) 557-8300
(919) 557-8308
Mailing address
5908 BRECKENRIDGE PKWY, TAMPA, FL 33610
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
11607
NC
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2141712
PK
—
Enumeration date
08/21/2013
Last updated
07/24/2020
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