Charlotte Heart Pharmacy LLC

NPI #1154632883 in Port Charlotte, Florida

Provider Information

NPI Number: 1154632883
Entity Type: Organization
Organization Name: Charlotte Heart Pharmacy LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CHARLOTTE HEART & VASCULAR INSTITUTE
Primary Specialty: Pharmacist
Enumeration Date: Jun 28, 2010
Last Updated: Jul 16, 2010

Practice Location

Address: 3340 TAMIAMI TRL
City: Port Charlotte
State: Florida
ZIP Code: 33952-8088
Phone: (941) 613-0334

Authorized Official

Name: DR. MARIO LOPEZ, MD
Title: PRESIDENT
Phone: (941) 764-5858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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