Organization
CAPAK INCORPORATED
Active
Other names
Osceola Health Mart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS T MILLER RPH (PRESIDENT)
(772) 778-8585
Entity
Organization
Contact information
Practice address
1615-1635 14TH AVE, VERO BEACH, FL 32960-0435
(772) 562-3660
(772) 562-3650
Mailing address
1615 14TH AVE # 1635, VERO BEACH, FL 32960-0435
(772) 562-3660
(772) 562-3650
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
FL10967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027088100
—
FL
05
—
027088196
—
FL
05
—
027088198
—
FL
05
—
101464100
—
FL
05
—
677213700
—
FL
Enumeration date
06/28/2005
Last updated
01/29/2009
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