Healthcare Provider Details

I. General information

NPI: 1881997146
Provider Name (Legal Business Name): A PLUS PHARMACY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2010
Last Update Date: 12/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5933 S CONGRESS AVE
ATLANTIS FL
33462-1303
US

IV. Provider business mailing address

5933 S CONGRESS AVE
ATLANTIS FL
33462-1303
US

V. Phone/Fax

Practice location:
  • Phone: 561-432-2121
  • Fax: 561-432-2127
Mailing address:
  • Phone: 561-432-2121
  • Fax: 561-432-2127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH24946
License Number StateFL

VIII. Authorized Official

Name: KIRILL VESSELOV
Title or Position: VICE PRESIDENT
Credential:
Phone: 561-432-2121