MEDICARE: AGHAPY SPIRIT 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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1821703414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGHAPY SPIRIT LLC

Provider Business Mailing Address
First Line	:	2019 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3703
Country	:	US
Telephone Number	:	727-441-6900
Fax Number	:

Provider Business Practice Location Address
First Line	:	2019 GULF TO BAY BLVD
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33765-3703
Country	:	US
Telephone Number	:	727-441-6900
Fax Number	:

Authorized Official
Title or Position	:	PHARMACY MANAGER
Name	:	EMAD MANSOUR
Credential	:	RPH
Telephone Number	:	727-441-6900

Provider Enumeration Date	:	01/18/2023
Last Update Date	:	01/19/2023

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Directions to “AGHAPY SPIRIT LLC ” Practice Location

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