Healthcare Provider Details

I. General information

NPI: 1336802602
Provider Name (Legal Business Name): VIHAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2021
Last Update Date: 04/20/2022
Certification Date: 04/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2706 W SAINT ISABEL ST
TAMPA FL
33607-6382
US

IV. Provider business mailing address

2706 W SAINT ISABEL ST
TAMPA FL
33607-6382
US

V. Phone/Fax

Practice location:
  • Phone: 813-771-6075
  • Fax: 813-771-6076
Mailing address:
  • Phone: 813-771-6075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ARTH JOSHI
Title or Position: PHARMACY MANAGER
Credential: PHARMD
Phone: 813-771-6075