Organization
CITY VIEW PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BERNARD B AGBELUSI RPH (PHARMACIST)
(321) 206-9426
Entity
Organization
Contact information
Practice address
595 W CHURCH ST STE H, ORLANDO, FL 32805-2209
(321) 206-9426
(321) 244-0541
Mailing address
595 W CHURCH ST STE H, ORLANDO, FL 32805-2209
(321) 206-9426
(321) 244-0541
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PH 21004
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028278200
—
FL
01
—
1008956
NCPDP NUMBER
FL
Enumeration date
07/22/2006
Last updated
06/17/2009
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