Organization
GUARDIAN PHARMACY OF DAYTONA, LLC
Active
Other names
Guardian Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ROSATI (PRESIDENT)
(386) 615-1925
Entity
Organization
Contact information
Practice address
10 AVIATOR WAY, ORMOND BEACH, FL 32174-2983
(386) 615-1925
(386) 615-1996
Mailing address
GUARDIAN PHARMACY OF DAYTONA DEPT 2360, P.O. BOX 11407, BIRMINGHAM, AL 35246-2360
(404) 810-0089
(404) 810-0094
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PH22645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032055200
—
FL
Enumeration date
05/17/2007
Last updated
09/18/2014
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