Organization
ARSANYS LLC
Active
Other names
good shepherd pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAEL BENIAMIN (MANAGER/OWNER)
(646) 642-3054
Entity
Organization
Contact information
Practice address
13033 CORTEZ BLVD, BROOKSVILLE, FL 34613-4838
(646) 642-3054
Mailing address
2543 BUTTERFLY LANDING DR, LAND O LAKES, FL 34638-7228
(646) 642-3054
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH24262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH24262
STATE LICENSE
FL
Enumeration date
09/28/2009
Last updated
09/28/2009
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