Carl D Acquaviva
Carl D Acquaviva is a Pharmacy in Palm Bay, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
1555 Port Malabar Blvd NE Ste 102BPalm Bay, FL 32905-5407
Phone: (321) 725-7188
Fax: (321) 728-1333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X |
|---|---|
| Pharmacy | Taxonomy 333600000X · Licence PH25270 (FL) |
Record details
| NPI number | 1780970673 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carl Acquaviva — Pharmacy Dept Manager · (321) 768-1400 |
| Other names | Acquaviva'S Ltc Pharmacy; Acquaviva'S Ltc Pharmacy |
| NPI enumerated | June 20, 2011 |
| Last updated in NPPES | February 5, 2019 |
| Mailing address | 1555 Port Malabar Blvd Ne, Suite #102b, Palm Bay, FL 32905-5407 |
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