Healthcare Provider Details

I. General information

NPI: 1922713577
Provider Name (Legal Business Name): ANAY INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 06/22/2023
Certification Date: 06/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 S COUNTY ROAD 315 STE A
INTERLACHEN FL
32148-5418
US

IV. Provider business mailing address

PO BOX 600873
SAINT JOHNS FL
32260-0873
US

V. Phone/Fax

Practice location:
  • Phone: 386-400-3545
  • Fax: 386-259-6061
Mailing address:
  • Phone: 386-400-3545
  • Fax: 386-259-6061

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

VIII. Authorized Official

Name: MR. SAMIR M JARECHA
Title or Position: MANAGING MEMBER AO
Credential:
Phone: 386-400-3545