MEDICARE: AGHAPY INVESTMENTS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH25067	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2127794	OTHER		PK

General Provider Information

NPI Number	:	1154623726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGHAPY INVESTMENTS LLC

Provider Business Mailing Address
First Line	:	1701 SE TIFFANY AVE
Second Line	:	STE # 103
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7576
Country	:	US
Telephone Number	:	772-337-1200
Fax Number	:	772-337-1204

Provider Business Practice Location Address
First Line	:	1701 SE TIFFANY AVE STE 103
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-7576
Country	:	US
Telephone Number	:	772-337-1200
Fax Number	:	772-337-1204

Authorized Official
Title or Position	:	OWNER
Name	:	MARIAN YOUSSEF
Credential	:
Telephone Number	:	772-337-1200

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	02/14/2017

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Directions to “AGHAPY INVESTMENTS LLC ” Practice Location

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