Pegasus Rx Pharmacy
LBN: Annalice Llc
Pegasus Rx Pharmacy is an health care organization with primary practice located at 1992 Alt Us Highway 19 , Tarpon Springs FL 34689. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Annalice Llc can be contacted via phone (727) 938-6400, or through Ohihoin, Nelson via phone (727) 534-1318.
Contact Information
Primary practice address
1992 Alt Us Highway 19
Tarpon Springs FL 34689
Phone: (727) 938-6400
Fax: (727) 938-6433
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH24481 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1649593179 |
|---|---|
| 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 | Mar 11th, 2010 |
| Last updated | Mar 1st, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649593179 | NPPES |
| Florida | MEDICAID | 002335600 | |
| Florida | Other | 2124203 |
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