Healthcare Provider Details

I. General information

NPI: 1346486545
Provider Name (Legal Business Name): TVPHARMACIST LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2008
Last Update Date: 10/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9011 PARK BLVD STE 206
SEMINOLE FL
33777-4123
US

IV. Provider business mailing address

9011 PARK BLVD STE 206
SEMINOLE FL
33777-4123
US

V. Phone/Fax

Practice location:
  • Phone: 727-398-1492
  • Fax: 727-342-5850
Mailing address:
  • Phone: 727-398-1492
  • Fax: 727-342-5850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH23766
License Number StateFL

VIII. Authorized Official

Name: ALPESH PATEL
Title or Position: PRESIDENT/MANAGING MBR
Credential:
Phone: 727-398-1492