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Organization

OVIEDO PHARMACY AND DRUG STORE LLC

Active
Other names
Pharmacy on the Park
Organization subpart
No

Provider details

NPI number
Authorized official
DR. IAN TASMAN (PHARMACIST)
(407) 977-9779
Entity
Organization

Contact information

Practice address
784 S. CENTRAL AVE, OVIEDO, FL 32765-3276
(407) 977-9779
Mailing address
784 S CENTRAL AVE, OVIEDO, FL 32765-8060
(407) 977-9779
(407) 977-0079

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
3336C0004X
Compounding Pharmacy
3336H0001X
Home Infusion Therapy Pharmacy

Other

Enumeration date
03/22/2021
Last updated
11/26/2024
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