DELTONA PHARMACY OF FLORIDA LLC NPI 1164408860

NPI Information

DELTONA PHARMACY OF FLORIDA, LLC is a pharmacy in Bonita Springs, FL. The provider is 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. DELTONA PHARMACY OF FLORIDA, LLC NPI is 1164408860. The provider is registered as an organization entity type.

The provider's business location address is:

25987 S TAMIAMI TRL STE 102
BONITA SPRINGS, FL
ZIP 34134-807
Phone: (239) 317-0771
Fax: (386) 574-1489

The provider's authorized official is Carlos Randulfe .
The authorized official title is Managing Member and has the following contact phone number (239) 317-0771.

The enumeration date for this NPI number is 12/15/2005 and was last updated on 12/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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