| Avalon Park Pharmacy Corporation | |
|
457 Avalon Park South Blvd Suite 300 Orlando FL 32828-6997 | |
| (407) 482-8228 | |
| (407) 482-8229 |
| Full Name | Avalon Park Pharmacy Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 457 Avalon Park South Blvd, Orlando, Florida |
| Authorized Official Name and Position | Valentine Chike Okonkwo (CEO) |
| Authorized Official Contact | 4074828228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Park Pharmacy Corporation 457 Avalon Park South Blvd Suite 300 Orlando FL 32828-6997 Ph: (407) 482-8228 | Avalon Park Pharmacy Corporation 457 Avalon Park South Blvd Suite 300 Orlando FL 32828-6997 Ph: (407) 482-8228 |
| NPI Number | 1689911992 |
|---|---|
| Provider Enumeration Date | 01/07/2013 |
| Last Update Date | 01/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689911992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PH24071 (Florida) | Primary |
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