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Carl D Acquaviva
Long Term Care Pharmacy in Palm Bay, Florida
NPI 1780970673

Carl D Acquaviva is a Long Term Care Pharmacy based in Palm Bay, FL and is specialized in Long Term Care Pharmacy. Carl D Acquaviva practices in Palm Bay, FL. The NPI Number for Carl D Acquaviva is 1780970673 and holds a License No. PH25270 (Florida).

The current practice location address for Carl D Acquaviva is 1555 Port Malabar Blvd Ne Ste 102B, 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 Ste 102B, Palm Bay, FL, 32905-5407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780970673
Provider Name
Carl D Acquaviva
Credential
Provider Entity Type
Organization
Address
1555 Port Malabar Blvd Ne Ste 102B, Palm Bay, FL, 32905-5407
Phone Number
321-725-7188
Fax Number
321-728-1333
Provider Enumeration Date
06/20/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104293900 05 FL
2131033 01 PK
institution
Provider Business Practice Location Address Details
Address
1555 Port Malabar Blvd Ne Ste 102B
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 Ste 102B
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
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
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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 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
PH25270 (Florida)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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