Edison Prescription Shoppe

LBN: Rx Services Corporation
Edison Prescription Shoppe is an health care organization with primary practice located at 2665 Cleveland Ave #103, Fort Myers FL 33901-5850. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Rx Services Corporation can be contacted via phone (239) 561-2757, or through Jacobs, Bruce via phone (239) 561-2757.

Contact Information

Primary practice address
2665 Cleveland Ave #103 Fort Myers FL 33901-5850
Phone: (239) 561-2757
Fax: (239) 768-1292
Website:
Map and Directions
Authorized official contact:
Name: Jacobs, Bruce RPH
Phone: (239) 561-2757

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X PH10783 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1326045097
LBN Legal business name Rx Services Corporation
DBA Doing business as Edison Prescription Shoppe
Authorized official Jacobs, Bruce RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326045097 NPPES
Florida MEDICAID 100617700
Florida MEDICAID 100617701
Florida MEDICAID 671486296
Florida Other 1062861

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