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Organization

TARGET

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BEN GAGLIARDO PHARM. D. (PHARMACIST)
(239) 829-2640
Entity
Organization

Contact information

Practice address
1890 NE PINE ISLAND RD, CAPE CORAL, FL 33909-1733
(239) 829-2640
(239) 829-2643
Mailing address
1890 NE PINE ISLAND RD, CAPE CORAL, FL 33909-1733
(239) 829-2640
(239) 829-2643

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH22917
FL

Other

Enumeration date
06/28/2011
Last updated
06/28/2011
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