MEDICARE: DELIVRXD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1801540794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELIVRXD LLC

Provider Business Mailing Address
First Line	:	4104 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-5239
Country	:	US
Telephone Number	:	813-932-6266
Fax Number	:	813-392-3556

Provider Business Practice Location Address
First Line	:	4104 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33624-5239
Country	:	US
Telephone Number	:	813-932-6266
Fax Number	:	813-392-3556

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	DR. WILLIAM CECIL PARKER
Credential	:	PHARMACIST
Telephone Number	:	813-932-6266

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	02/09/2022

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Directions to “DELIVRXD LLC ” Practice Location

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