| NPI | 1487739215 |
|---|---|
| Doing Business As | CYPRESS PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JUSTIN R CERAVOLO Owner 239-481-7322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: FL PH23348) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-05-30 |