Pegasus Rx 002 Pharmacy

LBN: Annalice Llc
Pegasus Rx 002 Pharmacy is an health care organization with primary practice located at 6506 Embassy Blvd , Port Richey FL 34668-4734. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Annalice Llc can be contacted via phone (727) 848-9400, or through Ohihoin, Nelson via phone (727) 534-1318.

Contact Information

Primary practice address
6506 Embassy Blvd Port Richey FL 34668-4734
Phone: (727) 848-9400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ohihoin, Nelson
Phone: (727) 534-1318

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH24598 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1629398003
LBN Legal business name Annalice Llc
DBA Doing business as Pegasus Rx 002 Pharmacy
Authorized official Ohihoin, Nelson
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2010
Last updated Oct 28th, 2010 - about 15 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 1629398003 NPPES
Other 5700807 NCPDP PROVIDER IDENTIFICATION NUMBER

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