Healthcare Provider Details

I. General information

NPI: 1841113453
Provider Name (Legal Business Name): THE PHARMACY AT CLERMONT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 US HIGHWAY 27 UNIT 30
CLERMONT FL
34714-6214
US

IV. Provider business mailing address

1740 US HIGHWAY 27 UNIT 30
CLERMONT FL
34714-6214
US

V. Phone/Fax

Practice location:
  • Phone: 689-319-7001
  • Fax: 689-689-3787
Mailing address:
  • Phone: 689-319-7001
  • Fax: 689-689-3787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: TAPAN PATEL
Title or Position: OWNER
Credential:
Phone: 689-333-2221