Carl D Acquaviva in Palm Bay - Community/retail Pharmacy
Carl D Acquaviva - NPI 1013928514
Carl D Acquaviva is a Community/retail Pharmacy in Palm Bay, Florida. Carl D Acquaviva practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Carl D Acquaviva is 1013928514. The last update date is 2009-04-02.
Carl D Acquaviva's current location address is 1555 Port Malabar Blvd Ne, Palm Bay, Florida. You can contact this provider via phone number 3217257188 and fax number 3217281333. The mailing address for Carl D Acquaviva is 1555 Port Malabar Blvd Ne, Palm Bay, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Carl D Acquaviva |
|---|---|
| Address | 1555 Port Malabar Blvd Ne, Palm Bay, Florida |
| Phone Number | 3217257188 |
| Fax Number | 3217281333 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PHAR |
|---|---|
| Authorized Official Name | Acquaviva D Carl |
| Credentials | RPH |
| Telephone Number | 3217257188 |
NPI Number Detail
| NPI Number | 1013928514 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2009-04-02 |
Provider Mailing Address Detail
| Address | 1555 Port Malabar Blvd Ne |
|---|---|
| City | Palm Bay |
| State | Florida (FL) |
| Post Code | 329055407 |
| Phone Number | 3217257188 |
| Fax Number | 3217281333 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PH10316 |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1038036 | NCPDP PROVIDER IDENTIFICATION | ||
| 104293901 | FL | -- | |
| 104293900 | FL | -- |
Post Comment/ Review Below
What is the Carl D Acquaviva's 1013928514?
The Carl D Acquaviva's NPI (National Provider Identifier) Number is 1013928514. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Carl D Acquaviva?
The Carl D Acquaviva is situated at 1555 Port Malabar Blvd Ne, in the city of Palm Bay, state of FL, with the zip code 329055407.
What is the Carl D Acquaviva's specialty and taxonomy code?
The Carl D Acquaviva's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.
On what date did the Carl D Acquaviva receive the assignment of its 1013928514 from the Centers for Medicare & Medicaid Services?
The Carl D Acquaviva was issued its 1013928514 by the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the Carl D Acquaviva's details last updated?
The information pertaining to the Carl D Acquaviva, including its address, specialty, and other details, was most recently updated on 2009-04-02.
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