Organization
SERVICE PRO PHARMACY LLC
Active
Other names
Service Pro Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STUART VIATOR (PRESIDENT)
(850) 516-5886
Entity
Organization
Contact information
Practice address
4880 WOODBINE RD, PACE, FL 32571-8762
(850) 995-9999
(850) 995-0095
Mailing address
4880 WOODBINE RD, PACE, FL 32571-8762
(850) 995-9999
(850) 995-0095
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
30372
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165886
PK
—
Enumeration date
11/07/2016
Last updated
11/07/2016
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