OrganizationActive
Annalice LLC
NPI 1083848865 · Community/Retail Pharmacy · Bushnell, FL
Provider details
- NPI number
- 1083848865
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Nelson Ohihoin, Ceo(727) 534-1318
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
115 W Belt Ave
Bushnell, FL 33513-5101
Phone: (352) 793-3100
Fax: (352) 793-3106
Street-level locationGet directions
Mailing address
115 W Belt Ave
Bushnell, FL 33513-5101
Other names (DBA / former)
- Doing business as
- Pegasus Rx Pharmacy
Registry dates
- Enumerated
- 2009-05-08
- Last updated
- 2017-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.