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Carl D Acquaviva
Community/Retail Pharmacy in Palm Bay, Florida
NPI 1013928514

Carl D Acquaviva is a Community/Retail Pharmacy based in Palm Bay, FL and is specialized in Community/Retail Pharmacy. Carl D Acquaviva practices in Palm Bay, FL. The NPI Number for Carl D Acquaviva is 1013928514 and holds a License No. (Florida).

The current practice location address for Carl D Acquaviva is 1555 Port Malabar Blvd Ne, Palm Bay, FL and can be reached out via phone at 321-725-7188 and via fax at 321-728-1333.

Location: 1555 Port Malabar Blvd Ne, Palm Bay, FL, 32905-5407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013928514
Provider Name
Carl D Acquaviva
Credential
Provider Entity Type
Organization
Address
1555 Port Malabar Blvd Ne, Palm Bay, FL, 32905-5407
Phone Number
321-725-7188
Fax Number
321-728-1333
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1038036 01 NCPDP PROVIDER IDENTIFICATION NUMBER
104293901 05 FL
104293900 05 FL
institution
Provider Business Practice Location Address Details
Address
1555 Port Malabar Blvd Ne
City
Palm Bay
State
Florida
Zip
32905-5407
Phone Number
321-725-7188
Fax Number
321-728-1333
person
Provider Business Mailing Address Details
Address
1555 Port Malabar Blvd Ne
City
Palm Bay
State
Florida
Zip
32905-5407
Phone Number
321-725-7188
Fax Number
321-728-1333
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PH10316 (Florida)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
()
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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