Organization · Type 2 NPI

ST Vincent Depaul Volunteer Community Pharmacy

Clinic Pharmacy · Port Charlotte, FL

NPI number 1396016945 Active

Practice location

21297 Olean Blvd Unit B
Port Charlotte, FL 33952-4609

Fax (941) 249-4609

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	PH17208 (FL)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Another provider at this address

Valeria Fogel, PHARM DPharmacist Port Charlotte, FL NPI 1952425365

NPI record

NPI: 1396016945
Entity type: Organization (Type 2)
Issued: Jan 13, 2012
Last updated: Oct 19, 2022
Status: Active

Other names

<unavail>
Virginia Andes Volunteer Community Pharmacy · doing business as
Virginia Andes Volunteer Community Pharmacy · doing business as

Authorized official

Valeria Fogel, PharmD
Pharmacy Director
(941) 766-1584

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1396016945

ST Vincent Depaul Volunteer Community Pharmacy's National Provider Identifier is 1396016945, issued on Jan 13, 2012. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Port Charlotte, FL. The record was last updated on Oct 19, 2022.