Organization
SERVICE PRO PHARMACY LLC
Active
Organization
SERVICE PRO PHARMACY LLC
Active
Other names
Service Pro Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STUART VIATOR (OWNER PRESIDENT)
(850) 516-5886
Entity
Organization
Contact information
Practice address
6472 HIGHWAY 90, MILTON, FL 32570-4560
(850) 564-0880
(850) 564-0884
Mailing address
6472 HIGHWAY 90, MILTON, FL 32534
(850) 564-0880
(850) 564-0884
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH29970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160230
PK
—
Enumeration date
05/24/2016
Last updated
06/07/2016
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