NPI 1003437732 · live from the CMS NPI Registry
Advanced Urology Institute LLC
Pharmacy, Community/Retail Pharmacy in South Pasadena, FL. National Provider Identifier 1003437732, active.
NPI record
| NPI | 1003437732 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pharmacy, Community/Retail Pharmacy 3336C0003X |
| Practice location | 1401 Pasadena Ave S Ste 5, South Pasadena, FL 33707 |
| Practice phone | 727-241-4994 |
| Mailing address | 12109 County Road 103, Oxford, FL 34484 |
| Enumerated | May 5, 2020 |
| Last updated | April 2, 2024 |
| Authorized official | Rolando Rivera, Authorized Official |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | — |
| Pharmacy, Community/Retail Pharmacy primary | 3336C0003X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.