=====================================================
General NPI Number Information
=====================================================
NPI Number | 1265477442
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RX FC INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/19/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5336 26TH ST W
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34207-3011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-756-2213
-----------------------------------------------------
Fax | 941-751-6284
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5336 26TH ST W
-----------------------------------------------------
City | BRADENTON
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34207-3011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JAMES GLUVNA
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 941-756-2213
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PH0011149
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------