Provider Demographics
NPI:1134488661
Name:LAMBRIGHT PHARMACY, LLC
Entity Type:Organization
Organization Name:LAMBRIGHT PHARMACY, LLC
Other - Org Name:R&H PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RPH/ PIC
Authorized Official - Prefix:
Authorized Official - First Name:REJI
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-877-7971
Mailing Address - Street 1:4202 W WATERS AVE
Mailing Address - Street 2:STE #2
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-1972
Mailing Address - Country:US
Mailing Address - Phone:813-877-7971
Mailing Address - Fax:813-872-0697
Practice Address - Street 1:4202 W WATERS AVE STE 2
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-1972
Practice Address - Country:US
Practice Address - Phone:813-877-7971
Practice Address - Fax:813-872-0697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH231973336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5710163OtherNCPDP PROVIDER IDENTIFICATION NUMBER