Healthcare Provider Details

I. General information

NPI: 1881967974
Provider Name (Legal Business Name): OXFORD PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2012
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3612 WEDGEWOOD LN
THE VILLAGES FL
32162-9318
US

IV. Provider business mailing address

3612 WEDGEWOOD LN
THE VILLAGES FL
32162-9318
US

V. Phone/Fax

Practice location:
  • Phone: 352-750-1400
  • Fax: 352-750-1480
Mailing address:
  • Phone: 352-750-1400
  • Fax: 352-750-1480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH25981
License Number StateFL

VIII. Authorized Official

Name: MR. VENKAT GUDIPATI
Title or Position: PHARMACY MANAGER
Credential:
Phone: 352-750-1400