Agevital Pharmacy, Llc

LBN: Agevital Pharmacy, Llc
Agevital Pharmacy, Llc is an health care organization with primary practice located at 16 S Blvd Of The Presidents , Sarasota FL 34236-1424. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Agevital Pharmacy, Llc can be contacted via phone (941) 928-8066, or through Wilkins, Jenny P. via phone (941) 928-8066.

Contact Information

Primary practice address
16 S Blvd Of The Presidents Sarasota FL 34236-1424
Phone: (941) 928-8066
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilkins, Jenny P.
Phone: (941) 928-8066

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1730428897
LBN Legal business name Agevital Pharmacy, Llc
DBA Doing business as
Authorized official Wilkins, Jenny P.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2013
Last updated Feb 10th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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