Carl D Acquaviva
Long Term Care Pharmacy
1555 Port Malabar Blvd Ne Ste 102b, Palm Bay
Florida, 32905-5407
321-725-7188 321-728-1333
Carl D Acquaviva is a Long Term Care Pharmacy in Palm Bay, Florida. It is located at 1555 Port Malabar Blvd Ne Ste 102b, Palm Bay and it's customer support contact number is 321-725-7188. The authorized person of Carl D Acquaviva is Carl Acquaviva who is Pharmacy Dept Manager of the pharmacy and his contact number is 321-768-1400.
Carl D Acquaviva is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Carl D Acquaviva type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Carl D Acquaviva |
| Type: | Long Term Care Pharmacy |
| Location: | 1555 Port Malabar Blvd Ne Ste 102b, Palm Bay,
Florida, 32905-5407 |
| Phone: | 321-725-7188 |
| Fax: | 321-728-1333 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Carl Acquaviva |
| Position: | Pharmacy Dept Manager |
| Contact Number: | 321-768-1400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1780970673 |
| NPI Enumeration Date: | 20 Jun, 2011 |
| NPI Last Update On: | 05 Feb, 2019 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carl D Acquaviva are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | | | Primary | |
| Pharmacy | PH25270 | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 104293900 | Medicaid | Florida | |
| 2131033 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1555 Port Malabar Blvd Ne, Suite #102b
Palm Bay, Florida |
| Zip: | 32905-5407 |
| Phone Number: | 321-725-7188 |
| Fax Number: | 321-728-1333 |
Patients can reach Carl D Acquaviva at
1555 Port Malabar Blvd Ne Ste 102b, Palm Bay, Florida or can
call on customer care at 321-725-7188.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.