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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