Organization
AGHAPY INVESTMENTS LLC
Active
Other names
St. Lucie Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAN YOUSSEF (OWNER)
(772) 337-1200
Entity
Organization
Contact information
Practice address
1701 SE TIFFANY AVE STE 103, PORT SAINT LUCIE, FL 34952-7576
(772) 337-1200
(772) 337-1204
Mailing address
1701 SE TIFFANY AVE, STE # 103, PORT SAINT LUCIE, FL 34952-7576
(772) 337-1200
(772) 337-1204
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25067
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003192600
—
FL
01
—
2127794
PK
—
Enumeration date
12/02/2010
Last updated
02/14/2017
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