Healthcare Provider Details
I. General information
NPI: 1740958081
Provider Name (Legal Business Name): AON PHARMACY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/01/2021
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14543 GLOBAL PKWY STE 110
FORT MYERS FL
33913-9446
US
IV. Provider business mailing address
14543 GLOBAL PKWY STE 110
FORT MYERS FL
33913-9446
US
V. Phone/Fax
- Phone: 833-886-1725
- Fax:
- Phone: 833-886-1725
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
DAVID
MCBREEN
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 239-297-9711