ZZ-RIERA CBOC PHARMACY (4128)    INSTITUTION (4)

Name Value
NAME ZZ-RIERA CBOC PHARMACY
STATE FLORIDA
STREET ADDR. 1 2900 VETERANS WAY
CITY VIERA
ZIP 32940
STATUS National
ASSOCIATIONS
ST. ADDR. 1 (MAILING) 2900 VETERANS WAY
CITY (MAILING) VIERA
STATE (MAILING) FLORIDA
ZIP (MAILING) 32940
EFFECTIVE DATE/TIME
  • 2009-10-01 00:00:00
    STATUS:   INACTIVE
    NPI:   1122334455
LOCATION TIMEZONE EASTERN
COUNTRY USA