| NPI | 1316243686 |
|---|---|
| Doing Business As | ECKERDS PHARMACY 102 |
| Entity Type | Organization |
| Authorized Contact | VIKRAM BACHUBHAI RAO President 863-774-3536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH25225) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 333600000X Pharmacy | |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2020-12-15 |