Organization
AVIPHARM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT PAUL ALTERMAN CPH,RPH (CONSULTANT PHARMACIST)
(954) 646-5887
Entity
Organization
Contact information
Practice address
7669 CALISTOBLE LOOP, 2ND FLOOR, FORT MYERS, FL 33908
(954) 646-5887
Mailing address
7669 CALISTOBLE LOOP, 2ND FLOOR, FORT MYERS, FL 33908
(954) 646-5887
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32059
PHARMACY LICENSE
FL
Enumeration date
05/06/2019
Last updated
05/06/2019
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