Organization · Type 2 NPI

Carl D Acquaviva

Long Term Care Pharmacy · Palm Bay, FL

NPI number 1780970673 Active

Practice location

1555 Port Malabar Blvd NE Ste 102B
Palm Bay, FL 32905-5407

Call (321) 725-7188 Map

Fax (321) 728-1333

Mailing address

1555 Port Malabar Blvd NE, Suite #102B
Palm Bay, FL 32905-5407

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	PH25270 (FL)
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

Other long term care pharmacy providers in Palm Bay

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NPI record

NPI: 1780970673
Entity type: Organization (Type 2)
Issued: Jun 20, 2011
Last updated: Feb 5, 2019
Status: Active

Other names

<unavail>
Acquaviva's LTC Pharmacy · doing business as
Acquaviva's LTC Pharmacy · doing business as

Authorized official

Carl Acquaviva
Pharmacy Dept Manager
(321) 768-1400

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About NPI 1780970673

Carl D Acquaviva's National Provider Identifier is 1780970673, issued on Jun 20, 2011. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Palm Bay, FL. The record was last updated on Feb 5, 2019.