Organization
ANTHONY 2016 LLC
Active
Organization
ANTHONY 2016 LLC
Active
Other names
St Anthony's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KETANKUMAR PATEL PHARMACIST (OWNER)
(813) 570-7444
Entity
Organization
Contact information
Practice address
5406 HOOVER BLVD STE 16, TAMPA, FL 33634-5330
(813) 570-7444
(813) 570-6090
Mailing address
5406 HOOVER BLVD STE 16, TAMPA, FL 33634-5330
(813) 570-7444
(813) 570-6090
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019580500
—
FL
01
—
PH30196
PHARMACY LICENSE
FL
Enumeration date
06/13/2016
Last updated
01/30/2026
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