Healthcare Provider Details

I. General information

NPI: 1194632992
Provider Name (Legal Business Name): PACK4U CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7531 CURRENCY DR
ORLANDO FL
32809-6922
US

IV. Provider business mailing address

7531 CURRENCY DR
ORLANDO FL
32809-6922
US

V. Phone/Fax

Practice location:
  • Phone: 407-857-2871
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL SULLIVAN
Title or Position: VICE PRESIDENT
Credential: PHARM.D
Phone: 203-228-4156