Crestview Pharmacy, LLC
NPI #1407965262 in Crestview, Florida
Provider Information
- NPI Number
- 1407965262
- Entity Type
- Organization
- Organization Name
- Crestview Pharmacy, LLC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 29, 2006
- Last Updated
- Jun 11, 2019
Practice Location
Authorized Official
- Name
- MR. VINCE DAGRAVA, PHARMD
- Title
- COO
- Phone
- (859) 552-5013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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