Provider Demographics
NPI:1790015188
Name:LAMBRIGHT PHARMACY
Entity Type:Organization
Organization Name:LAMBRIGHT PHARMACY
Other - Org Name:R&H PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-877-7971
Mailing Address - Street 1:8890 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-6265
Mailing Address - Country:US
Mailing Address - Phone:813-988-1985
Mailing Address - Fax:813-988-1987
Practice Address - Street 1:8890 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-6265
Practice Address - Country:US
Practice Address - Phone:813-988-1985
Practice Address - Fax:813-988-1987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH243803336C0003X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
1051995OtherNCPDP PROVIDER IDENTIFICATION NUMBER