Organization · Type 2 NPI

Eckerds Pharmacy LLC

Long Term Care Pharmacy · Kenneth City, FL

NPI number 1578198560 Active

Practice location

4404 66th St N
Kenneth City, FL 33709-4922

Fax (727) 513-1109

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Another provider at this address

Eckerds Pharmacy LLCCommunity/Retail Pharmacy Kenneth City, FL NPI 1922577832

NPI record

NPI: 1578198560
Entity type: Organization (Type 2)
Issued: Mar 10, 2020
Last updated: Jan 18, 2024
Status: Active
Subpart: Yes of Eckerds Pharmacy LLC

Other names

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Vistara Specialty Pharmacy · doing business as

Authorized official

Bhaveshkumar Patel
Authorized Officer
(813) 900-4995

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1578198560

Eckerds Pharmacy LLC's National Provider Identifier is 1578198560, issued on Mar 10, 2020. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Kenneth City, FL. The record was last updated on Jan 18, 2024.