Organization
CAPE CORAL EXPRESS PHARMACY INC
Active
Other names
CAPE CORAL EXPRESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN PASCUAL (PRESIDENT)
(786) 287-5893
Entity
Organization
Contact information
Practice address
505 DEL PRADO BLVD N, CAPE CORAL, FL 33909-2269
(239) 574-8846
(239) 574-7080
Mailing address
505 DEL PRADO BLVD N, CAPE CORAL, FL 33909-2269
(239) 574-8846
(239) 574-7080
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22350
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024114
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/07/2006
Last updated
08/12/2011
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