Organization
VILLA PHARMACY LLC
Active
Other names
Villa Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE JONES SR. PHARMD (OWNER/MANAGER)
(813) 215-9855
Entity
Organization
Contact information
Practice address
105 AVENUE R NW, WINTER HAVEN, FL 33881
(813) 215-9855
Mailing address
105 AVENUE R NW, WINTER HAVEN, FL 33881-2147
(813) 215-9855
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH27110
FL
Other
Enumeration date
10/10/2013
Last updated
06/23/2016
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