Organization
EZ RX BONITA SPRINGS LLC
Active
Other names
MY CHOICE RX
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN SHARP (MANAGER)
(239) 301-5058
Entity
Organization
Contact information
Practice address
13141 MCGREGOR BLVD STE 7, FORT MYERS, FL 33919-5926
(239) 301-5058
(239) 790-5182
Mailing address
9300 CONROY WINDERMERE RD UNIT 216, WINDERMERE, FL 34786-5009
(239) 301-5058
(239) 790-5182
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH30329
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2163870
PK
—
Enumeration date
09/08/2016
Last updated
01/26/2024
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