Organization
VIVA PHARMACY LLC
Active
Other names
VIVA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YOUSTINA MORKOS (PIC)
(407) 985-1816
Entity
Organization
Contact information
Practice address
114 S SEMORAN BLVD, ORLANDO, FL 32807-3293
(407) 985-1816
(407) 745-4536
Mailing address
114 S SEMORAN BLVD, ORLANDO, FL 32807-3293
(407) 985-1816
(407) 745-4536
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30802
FL
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170059
PK
—
Enumeration date
07/12/2017
Last updated
04/24/2018
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