Provider Demographics
NPI:1063258119
Name:RX CARE PHARMACY AND KWICKMART INC
Entity type:Organization
Organization Name:RX CARE PHARMACY AND KWICKMART INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HARESH
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:352-567-2238
Mailing Address - Street 1:14306 7TH ST
Mailing Address - Street 2:
Mailing Address - City:DADE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33523-3434
Mailing Address - Country:US
Mailing Address - Phone:813-500-9324
Mailing Address - Fax:352-567-2259
Practice Address - Street 1:14306 7TH ST
Practice Address - Street 2:
Practice Address - City:DADE CITY
Practice Address - State:FL
Practice Address - Zip Code:33523-3434
Practice Address - Country:US
Practice Address - Phone:352-567-2238
Practice Address - Fax:352-567-2229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy