Organization
CAPE CORAL EXPRESS PHARMACY INC
Active
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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