Organization
ENVISION PHARMACY AND HEALTHCARE SERVICES LLC
Active
Other names
Envision Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
RAVI YALAMANCHILI (OWNER)
(813) 333-0750
Entity
Organization
Contact information
Practice address
18125 N US HIGHWAY 41 STE 107, LUTZ, FL 33549-4498
(813) 333-0750
(866) 780-9023
Mailing address
18125 N US HIGHWAY 41 STE 107, LUTZ, FL 33549-4498
(813) 333-0750
(866) 780-9023
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH31336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112631900
—
FL
01
—
2177190
PK
—
Enumeration date
04/21/2018
Last updated
04/06/2022
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