MEDICARE: AWPRX, 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	333600000X	Pharmacy

General Provider Information

NPI Number	:	1972838241
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AWPRX, LLC

Provider Business Mailing Address
First Line	:	307 CRANES ROOST BLVD SUITE 1040
Second Line	:	SUITE 2000
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3374
Country	:	US
Telephone Number	:	800-600-1930
Fax Number	:

Provider Business Practice Location Address
First Line	:	307 CRANES ROOST BLVD SUITE 1040
Second Line	:	SUITE 2000
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-3374
Country	:	US
Telephone Number	:	800-600-1930
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	MR. CHARLIE GALE
Credential	:
Telephone Number	:	800-600-1930

Provider Enumeration Date	:	10/05/2009
Last Update Date	:	03/19/2015

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