Organization
CAMEO PHARMACY LLC
Active
Other names
Cameo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COSTA (PRESIDENT)
(352) 572-5562
Entity
Organization
Contact information
Practice address
1326 S PINE AVE, # 202, OCALA, FL 34471-6542
(352) 433-2990
(352) 433-2993
Mailing address
1326 S PINE AVE, # 202, OCALA, FL 34471-6542
(352) 433-2990
(352) 433-2993
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24601
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5700326
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/29/2010
Last updated
07/14/2010
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