Organization
INDIAN RIVER MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY SUSI (C.E.O. PRESIDENT)
(772) 567-4311
Entity
Organization
Contact information
Practice address
1000 36TH ST, RETAIL PHARMACY, VERO BEACH, FL 32960-4862
(772) 567-4311
(772) 794-1462
Mailing address
1000 36TH ST, RETAIL PHARMACY, VERO BEACH, FL 32960-4862
(772) 567-4311
(772) 794-1462
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH-8926
FL
Other
Enumeration date
09/22/2006
Last updated
08/22/2020
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