| NPI | 1780970673 |
|---|---|
| Doing Business As | ACQUAVIVA'S LTC PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARL ACQUAVIVA Pharmacy Dept Manager 321-768-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: FL PH25270) |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2019-02-05 |