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
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112631900
—
FL
01
—
PH31336
STATE BOARD OF PHARMACY
FL
Enumeration date
02/08/2022
Last updated
04/06/2022
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