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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