Healthcare Provider Details

I. General information

NPI: 1568556975
Provider Name (Legal Business Name): HYGEIA HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 E BAY DR UNIT K
LARGO FL
33771-1005
US

IV. Provider business mailing address

1555 E BAY DR UNIT K
LARGO FL
33771-1005
US

V. Phone/Fax

Practice location:
  • Phone: 727-501-0188
  • Fax: 727-501-0185
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH21145
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPH21145
License Number StateFL

VIII. Authorized Official

Name: DR. MINAS G LIRISTIS
Title or Position: CEO/PHARMACIST
Credential: PHARM.D
Phone: 727-501-0188