Provider Demographics
NPI:1114672805
Name:APRICUSRX LLC
Entity type:Organization
Organization Name:APRICUSRX LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GALERIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-201-4379
Mailing Address - Street 1:1826 60TH PL E
Mailing Address - Street 2:UNITS 5-6
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-5073
Mailing Address - Country:US
Mailing Address - Phone:941-201-4379
Mailing Address - Fax:941-201-5405
Practice Address - Street 1:1826 60TH PL E UNIT 5-6
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34203-5073
Practice Address - Country:US
Practice Address - Phone:941-201-4379
Practice Address - Fax:941-201-5405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL114075100Medicaid