Provider Demographics
NPI:1922301829
Name:PROGRESSIVE PHARMACY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:PROGRESSIVE PHARMACY SOLUTIONS, INC.
Other - Org Name:PROGRESSIVE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-973-2782
Mailing Address - Street 1:29448 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-4226
Mailing Address - Country:US
Mailing Address - Phone:813-973-2782
Mailing Address - Fax:813-973-2815
Practice Address - Street 1:29448 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-4226
Practice Address - Country:US
Practice Address - Phone:813-973-2782
Practice Address - Fax:813-973-2815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH251173336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy