| NPI | 1104826882 |
|---|---|
| Doing Business As | ACOSTA PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RENEE A ACOSTA President/Owner 305-388-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL PH18047) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 343483-4) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |