Organization
ST VINCENT DEPAUL VOLUNTEER COMMUNITY PHARMACY
Active
Other names
Virginia Andes Volunteer Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIA FOGEL PHARMD (PHARMACY DIRECTOR)
(941) 766-1584
Entity
Organization
Contact information
Practice address
21297 OLEAN BLVD UNIT B, PORT CHARLOTTE, FL 33952-4609
(941) 766-9570
(941) 249-4609
Mailing address
21297 OLEAN BLVD UNIT B, PORT CHARLOTTE, FL 33952-4609
(941) 766-9570
(941) 249-4609
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
PH17208
FL
Other
Enumeration date
01/13/2012
Last updated
10/19/2022
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