Organization
TVPHARMACIST LLC
Active
Other names
TVPLONGTERMCARE
Organization subpart
No
Provider details
NPI number
Authorized official
ALPESH PATEL (PREDSIDENT)
(248) 421-8267
Entity
Organization
Contact information
Practice address
9011 PARK BLVD STE 206, SEMINOLE, FL 33777-4123
(727) 398-1492
(727) 342-5850
Mailing address
9011 PARK BLVD STE 206, SEMINOLE, FL 33777-4123
(727) 398-1492
(727) 342-5850
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH23766
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041780
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/22/2009
Last updated
09/30/2010
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