Provider Demographics
NPI:1023615606
Name:AADESH RX LLC
Entity type:Organization
Organization Name:AADESH RX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIKRAM
Authorized Official - Middle Name:BACHUBHAI
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-774-3536
Mailing Address - Street 1:518 S 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:WAUCHULA
Mailing Address - State:FL
Mailing Address - Zip Code:33873-3211
Mailing Address - Country:US
Mailing Address - Phone:863-774-3536
Mailing Address - Fax:
Practice Address - Street 1:518 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-3211
Practice Address - Country:US
Practice Address - Phone:863-774-3536
Practice Address - Fax:863-774-3538
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AADESH RX LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-06
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH25125OtherBOARD OF PHARMACY