Pegasus Rx Pharmacy

LBN: Annalice Llc
Pegasus Rx Pharmacy is an health care organization with primary practice located at 115 W Belt Ave , Bushnell FL 33513-5101. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Annalice Llc can be contacted via phone (352) 793-3100, or through Ohihoin, Nelson via phone (727) 534-1318.

Contact Information

Primary practice address
115 W Belt Ave Bushnell FL 33513-5101
Phone: (352) 793-3100
Fax: (352) 793-3106
Website:
Map and Directions
Authorized official contact:
Name: Ohihoin, Nelson
Phone: (727) 534-1318

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH24029 Florida

Profile Details

NPI number 1083848865
LBN Legal business name Annalice Llc
DBA Doing business as Pegasus Rx Pharmacy
Authorized official Ohihoin, Nelson
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2009
Last updated Mar 1st, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083848865 NPPES
Other 2120290 PK
MEDICAID 001215500 PK

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