Villa Pharmacy LLC

NPI #1720415599 in Winter Haven, Florida

Provider Information

NPI Number
1720415599
Entity Type
Organization
Organization Name
Villa Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Oct 10, 2013
Last Updated
Jun 23, 2016

Practice Location

Address
105 AVENUE R NW
State
Florida
ZIP Code
33881
Phone
(813) 215-9855

Authorized Official

Name
DR. DWAYNE JONES SR., PHARMD
Title
OWNER/MANAGER
Phone
(813) 215-9855

Specialties & Taxonomy Codes

Specialty
Pharmacy

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