AGEVITAL PHARMACY LLC NPI 1730428897

NPI Information

AGEVITAL PHARMACY, LLC is a compounding pharmacy pharmacy in Sarasota, FL. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. AGEVITAL PHARMACY, LLC NPI is 1730428897. The provider is registered as an organization entity type.

The provider's business location address is:

16 S BLVD OF THE PRESIDENTS
SARASOTA, FL
ZIP 34236-424
Phone: (941) 928-8066

The provider's authorized official is Jenny P. Wilkins .
The authorized official title is Proprietor/general Manager and has the following contact phone number (941) 928-8066.

The enumeration date for this NPI number is 2/10/2013 and was last updated on 2/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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