| NPI | 1144605023 |
|---|---|
| Doing Business As | D/B/A: PHARMA-VILLE RX & MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | NEVILLE E COOKE President 813-605-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH29232) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2020-07-22 |