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 |