Healthcare Provider Details

I. General information

NPI: 1932511359
Provider Name (Legal Business Name): RX CARE 10 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 08/25/2020
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3795 TAMIAMI TRL E
NAPLES FL
34112-6257
US

IV. Provider business mailing address

3795 TAMIAMI TRAIL E
NAPLES FL
34112
US

V. Phone/Fax

Practice location:
  • Phone: 239-774-2200
  • Fax: 239-774-2280
Mailing address:
  • Phone: 239-774-2200
  • Fax: 239-774-2280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH28153
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ALPESH PATEL
Title or Position: OWNER
Credential:
Phone: 813-304-2221