Organization
CLOVER PHARMACY INC
Active
Organization
CLOVER PHARMACY INC
Active
Other names
CLOVER PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL RAVELO (OWNER)
(772) 206-5054
Entity
Organization
Contact information
Practice address
259-357 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952
(772) 333-2585
(772) 333-2597
Mailing address
259-357 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952
(772) 333-2585
(772) 333-2597
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149942
PK
—
Enumeration date
02/04/2015
Last updated
02/04/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up