Healthcare Provider Details

I. General information

NPI: 1750203022
Provider Name (Legal Business Name): RUSH PHARMACY 07 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 MONROE RD STE 175
SANFORD FL
32771-8895
US

IV. Provider business mailing address

351 MONROE RD STE 175
SANFORD FL
32771-8895
US

V. Phone/Fax

Practice location:
  • Phone: 877-471-7788
  • Fax:
Mailing address:
  • Phone: 877-471-7788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRENT MESSER
Title or Position: PRESIDENT
Credential:
Phone: 877-471-7788