Provider Demographics
NPI:1396019410
Name:SAVERS DRUG MART INC
Entity Type:Organization
Organization Name:SAVERS DRUG MART INC
Other - Org Name:SAVERS LONG TERM CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ZIPPI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:321-725-5492
Mailing Address - Street 1:200 OCEAN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MELBOURNE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32951-2369
Mailing Address - Country:US
Mailing Address - Phone:321-725-5492
Mailing Address - Fax:321-728-8794
Practice Address - Street 1:200 OCEAN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MELBOURNE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32951-2369
Practice Address - Country:US
Practice Address - Phone:321-725-5492
Practice Address - Fax:321-728-8794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH25933332B00000X, 333600000X, 3336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy