Organization
VERO PHARMACY INC
Active
Other names
OSCEOLA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAZI IMAM (OWNER)
(772) 562-3660
Entity
Organization
Contact information
Practice address
1635 14TH AV, VERO BEACH, FL 32960
(772) 562-3660
(772) 770-4118
Mailing address
1635 14TH AV, VERO BEACH, FL 32960
(772) 562-3660
(772) 770-4118
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PH26784
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH30953
FL
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140485
PK
—
Enumeration date
04/16/2013
Last updated
11/01/2017
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