Organization
CHARLOTTE HEART PHARMACY LLC
Active
Parent organization
CHARLOTTE HEART & VASCULAR INSTITUTE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE HEART & VASCULAR INSTITUTE
Authorized official
DR. MARIO LOPEZ MD (PRESIDENT)
(941) 764-5858
Entity
Organization
Contact information
Practice address
3340 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8088
(941) 613-0334
(941) 613-1300
Mailing address
3340 TAMIAMI TRL, PORT CHARLOTTE, FL 33952-8088
(941) 764-5858
(941) 764-1657
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
FL
Other
Enumeration date
06/28/2010
Last updated
07/16/2010
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