Empire Specialty Pharmacy Llc

NPI 1093005753 - Pharmacy - 3336C0004X

NPI Details
NPI 1093005753
Enumeration Date 04/14/2011
Last Updated 08/21/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name VENKATA NAGA LAXMI VENKATA
Position OWNER/DIRECTOR
Phone (321) 549-5005
Fax (321) 549-6226
Practice Location
1451 DIXON BLVD
COCOA FL, 32922-6411, US
Phone (321) 549-5005
Fax (321) 549-6226
Business Location
1451 DIXON BLVD
COCOA FL, 32922-6411, US
Phone (321) 549-5005
Fax (321) 549-6226
Toxanomy
Taxonomy Code 3336C0004X
License State
License Number
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According to our database, Empire Specialty Pharmacy Llc NPI is 1093005753, taxonomy code is 3336C0004X Empire Specialty Pharmacy Llc physically located at 1451 Dixon Blvd, Cocoa FL, 32922-6411. NPI Number 1033115704 has the healthcare provider type.

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1093005753 NPI number is provided on an as is basis without warranty of any kind. 1093005753 is maintained by the National Plan & Provider Enumeration System. The contents of Empire Specialty Pharmacy Llc are for informational purposes only.