MEDICARE: LITHAN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	PH31369	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2177300	OTHER	PK
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558858985
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITHAN LLC

Provider Business Mailing Address
First Line	:	6508 EMBASSY BLVD
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-4734
Country	:	US
Telephone Number	:	727-261-4684
Fax Number	:	727-261-4883

Provider Business Practice Location Address
First Line	:	6508 EMBASSY BLVD
Second Line	:
City	:	PORT RICHEY
State	:	FL
Zip	:	34668-4734
Country	:	US
Telephone Number	:	727-261-4684
Fax Number	:	727-261-4683

Authorized Official
Title or Position	:	CEO
Name	:	NELSON OHIHOIN
Credential	:
Telephone Number	:	727-271-7553

Provider Enumeration Date	:	04/20/2018
Last Update Date	:	09/19/2025

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Directions to “LITHAN LLC ” Practice Location

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