Organization · NPI-2

Aster Discount Pharmacy, INC.

Pharmacy · Port Saint Lucie, FL

NPI number1104200856
StatusActive
Last updated in NPPESJul 13, 2015

Details

NPI
1104200856
Entity type
Organization (NPI-2)
Legal business name
Aster Discount Pharmacy, INC.
Organization subpart
No
Enumeration date
Jul 13, 2015
Last updated
Jul 13, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
333600000X Pharmacy––Yes

Practice location

718 Sw Port St Lucie Blvd
Unit # 2
Port Saint Lucie, FL 34953-2689

Phone 772-577-6469 · Fax 772-577-6657

Mailing address

718 Sw Port St Lucie Blvd
Unit # 2
Port Saint Lucie, FL 34953-2689

Phone 772-577-6469 · Fax 772-577-6657

Authorized official

Sonia Sharma
Pharmacy Manager
7725776469

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