Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crestview Pharmacy, LLC

Organization Community/Retail Pharmacy · NPI 1407965262

Crestview Pharmacy, LLC is a Community/Retail Pharmacy in Crestview, Florida. Licensed in Florida. Registered with an NPI since 2006.

Licensed in
FL
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1116 N Ferdon Blvd
Crestview, FL 32536-1710
Phone: (850) 683-1111
Fax: (850) 683-1753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PH18397 (FL)

Record details

NPI number1407965262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vince Dagrava — Coo · (859) 552-5013
Other names Crestview Pharmacy, Inc
NPI enumeratedAugust 29, 2006
Last updated in NPPESJune 11, 2019
Mailing address1116 N Ferdon Blvd, Crestview, FL 32536-1710

Other providers in Crestview