Organization
INDIAN RIVER PHARMACY, INC.
Active
Other names
PERKINS INDIAN RIVER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY MICHAEL DECRESCENZO R.PH. (PRESIDENT)
(772) 567-2555
Entity
Organization
Contact information
Practice address
3721 10TH CT, VERO BEACH, FL 32960-6559
(772) 567-2555
(772) 567-0013
Mailing address
3721 10TH CT, VERO BEACH, FL 32960-6559
(772) 567-2555
(772) 567-0013
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PH12565
FL
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PH19077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039987
NCPDP
FL
Enumeration date
01/17/2007
Last updated
09/11/2025
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