Organization
CYPRESS PHARMACY INC
Active
Organization
CYPRESS PHARMACY INC
Active
Parent organization
CYPRESS PHARMACY, INC.
Other names
Island Wellness Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CYPRESS PHARMACY, INC.
Authorized official
JUSTIN RYAN CERAVOLO PHARM D (OWNER)
(239) 481-7322
Entity
Organization
Contact information
Practice address
1700 PERIWINKLE WAY STE 7, SANIBEL, FL 33957-4334
(239) 481-7322
(239) 481-0151
Mailing address
9451 CYPRESS LAKE DR, FORT MYERS, FL 33919-4909
(239) 481-7322
(239) 481-0151
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
06/10/2025
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