Provider Demographics
NPI:1508105677
Name:TOPICAL RX PHARMACY, LLC
Entity Type:Organization
Organization Name:TOPICAL RX PHARMACY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILBURN
Authorized Official - Middle Name:TURNER
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:RPH
Authorized Official - Phone:850-933-4342
Mailing Address - Street 1:1536 KINGSLEY AVE
Mailing Address - Street 2:#118
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4587
Mailing Address - Country:US
Mailing Address - Phone:850-933-4342
Mailing Address - Fax:855-237-4055
Practice Address - Street 1:1536 KINGSLEY AVE
Practice Address - Street 2:#118
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4587
Practice Address - Country:US
Practice Address - Phone:850-933-4342
Practice Address - Fax:855-237-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH266713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy