Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN BABENKO PHARM.D. (PHARMACIST)
(609) 805-0650
Entity
Organization
Contact information
Practice address
10155 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL 33411-1404
(561) 784-2734
Mailing address
2829 FLORIDA BLVD # 411, DELRAY BEACH, FL 33483-4655
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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