Organization
AVENTUS PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELIER YOUSSEF (OWNER)
(321) 262-5938
Entity
Organization
Contact information
Practice address
10323 CROSS CREEK BLVD STE B, TAMPA, FL 33647-2988
(321) 262-5938
Mailing address
10323 CROSS CREEK BLVD, SUITE B, TAMPA, FL 33647-2988
(321) 262-5938
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30420
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167144
PK
—
Enumeration date
12/31/2016
Last updated
01/19/2017
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