Healthcare Provider Details

I. General information

NPI: 1700549615
Provider Name (Legal Business Name): SCRIPTS PHARMACY 2 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2021
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2789 BROWNWOOD BLVD.
THE VILLAGES FL
32163
US

IV. Provider business mailing address

2789 BROWNWOOD BLVD.
THE VILLAGES FL
32163
US

V. Phone/Fax

Practice location:
  • Phone: 727-389-5900
  • Fax: 727-267-8806
Mailing address:
  • Phone: 727-389-5900
  • Fax: 727-267-8806

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: AMIT K DHIMAN
Title or Position: MGRM
Credential:
Phone: 727-389-5900