Organization
AVIVA CARE LTC PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIROSIS GONZALEZ (OWNER)
(954) 451-5578
Entity
Organization
Contact information
Practice address
2053 N UNIVERSITY DR STE A, SUNRISE, FL 33322-3936
(954) 616-5102
(954) 337-3929
Mailing address
2053 N UNIVERSITY DR STE A, SUNRISE, FL 33322-3936
(954) 616-5102
(954) 337-3929
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
04/23/2020
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