Healthcare Provider Details

I. General information

NPI: 1205319316
Provider Name (Legal Business Name): VISHNUH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1580 NW 2ND AVE STE 9
BOCA RATON FL
33432-5695
US

IV. Provider business mailing address

PO BOX 1930
LUTZ FL
33548-1930
US

V. Phone/Fax

Practice location:
  • Phone: 352-600-6699
  • Fax: 844-440-2334
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PARVINDER KAINTH
Title or Position: MGR
Credential: MGR
Phone: 561-287-8701