Organization
AVIVA CARE PHARMACY LLC
Active
Parent organization
AVIVA CARE PHARMACY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVIVA CARE PHARMACY LLC
Authorized official
IRINA ANTONOVA PHARMD (PHARMACY MANAGER)
(954) 451-5578
Entity
Organization
Contact information
Practice address
2053 NORTH UNIVERSITY DRIVE, SUNRISE, FL 33322
(954) 451-5578
(954) 451-5208
Mailing address
2053 NORTH UNIVERSITY DRIVE, SUNRISE, FL 33322
(954) 451-5578
(954) 451-5208
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
12/08/2020
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