Organization
LURD'S INC
Active
Other names
DOCTOR'S CHOICE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARDI VAN RENSBURG RPH (DME OFFICER)
(727) 697-1090
Entity
Organization
Contact information
Practice address
401 1ST AVE N, ST PETERSBURG, FL 33701-3802
(727) 803-6945
(727) 803-6947
Mailing address
6551 RIDGE RD, PORT RICHEY, FL 34668-6868
(727) 494-7646
(727) 807-6021
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH23491
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00587400
—
FL
01
—
2116817
PK
—
Enumeration date
08/12/2008
Last updated
12/30/2013
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