Organization
RX CARE OF LA INC
Active
Other names
Country Drug
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RIVERA (LICENSING SPECIALIST)
(813) 304-2221
Entity
Organization
Contact information
Practice address
202 SOUTH AVE, STE A, VIVIAN, LA 71082-3209
(318) 375-3784
(318) 375-5009
Mailing address
5908 BRECKENRIDGE PARKWAY, TAMPA, FL 33610
(813) 304-2221
(888) 239-8423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY6524
LA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2135192
PK
—
05
—
2201662
—
LA
Enumeration date
04/25/2007
Last updated
07/10/2020
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