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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