Organization
ANANT LLC
Active
Other names
NV PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HETAL PATEL (OWNER)
(352) 989-5913
Entity
Organization
Contact information
Practice address
16744 CAGAN CROSSINGS BLVD, SUITE 207 A, CLERMONT, FL 34714-4886
(352) 989-5913
(352) 989-5914
Mailing address
16744 CAGAN CROSSINGS BLVD, SUITE 207 A, CLERMONT, FL 34714-4886
(352) 989-5913
(352) 989-5914
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30546
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166538
PK
—
Enumeration date
01/24/2011
Last updated
03/28/2017
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