Organization
OSCEOLA PHARMACY OF VERO BEACH
Active
Other names
Osceola Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
PUJAN PATEL (OWNER)
(772) 562-3660
Entity
Organization
Contact information
Practice address
1635 14TH AVE, VERO BEACH, FL 32960-0435
(772) 562-3600
(772) 562-3650
Mailing address
1635 14TH AVE, VERO BEACH, FL 32960-0435
(772) 562-3600
(772) 562-3650
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH25826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5708702
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/12/2012
Last updated
01/17/2012
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