Organization
CEPEMART PHARMACY LLC
Active
Other names
North Apopka Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL OTENG-AMPONSAH (RPH)
(407) 902-1855
Entity
Organization
Contact information
Practice address
1087 W ORANGE BLOSSOM TRL, APOPKA, FL 32712-3401
(407) 703-5454
(407) 814-4349
Mailing address
958 HOME GROVE DR, WINTER GARDEN, FL 34787-6513
(407) 902-1855
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH29805
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017790900
—
FL
01
—
2157979
PK
—
Enumeration date
02/08/2016
Last updated
10/20/2022
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