Organization · NPI-2

Centra Rx INC

Pharmacy, Long Term Care Pharmacy · Ocala, FL

NPI number1598878985
StatusActive
Last updated in NPPESJun 12, 2013

Details

NPI
1598878985
Entity type
Organization (NPI-2)
Legal business name
Centra Rx INC
Organization subpart
No
Enumeration date
Aug 17, 2006
Last updated
Jun 12, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336L0003X Pharmacy, Long Term Care PharmacyPH19659FLYes
333600000X Pharmacy––

Other names

  • Centra Rx INC (Doing Business As)

Practice location

1326 S Pine Ave
Ocala, FL 34471-6542

Phone 352-629-8080 · Fax 352-629-2121

Mailing address

Po Box 10623
Tallahassee, FL 32302-2623

Phone 352-629-8080 · Fax 352-629-2121

Authorized official

John Costa
President
3526298080

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