Organization
EXTRA CARE CITY PHARMACY LLC
Active
Organization
EXTRA CARE CITY PHARMACY LLC
Active
Other names
Extracare City Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RUSHI BHAKTA (PHARMACY MANAGER)
(407) 890-9241
Entity
Organization
Contact information
Practice address
1620 DANIELS RD STE 130, WINTER GARDEN, FL 34787-5604
(407) 890-9241
(407) 542-5164
Mailing address
1620 DANIELS RD STE 130, WINTER GARDEN, FL 34787-5604
(407) 890-9241
(407) 542-5164
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30389
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020010800
—
FL
01
—
2164639
PK
—
Enumeration date
10/04/2016
Last updated
02/05/2026
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