Organization
MEDACCESS RX LLC
Active
Parent organization
MEDACCESS RX LLC
Other names
Care4You Health, Caare4You Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEDACCESS RX LLC
Authorized official
CHARLES ROBERT BUTLER FACHM (EXEC DIR)
(727) 455-7486
Entity
Organization
Contact information
Practice address
2100 BILLMAR LN N, SAINT PETERSBURG, FL 33714-2648
(727) 455-7486
Mailing address
2100 BILLMAR LN N, ST PETERSBURG, FL 33714-2648
(727) 455-7486
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
305R00000X
Preferred Provider Organization
Primary
—
—
405300000X
Prevention Professional
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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