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Annalice LLC — NPI 1629398003, Port Richey, FL | NPI Central

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NPI 1629398003

OrganizationActive

Annalice LLC

NPI 1629398003 · Pharmacy · Port Richey, FL

Provider details

NPI number: 1629398003
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Nelson Ohihoin, President(727) 534-1318

Specialties & taxonomies

PharmacyPrimary333600000XLicense PH24598 (FL)
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

6506 Embassy Blvd

Port Richey, FL 34668-4734

Phone: (727) 848-9400

Approximate (ZIP-level) locationGet directions

More FL providers

Mailing address

6506 Embassy Blvd

Port Richey, FL 34668-4734

Other names (DBA / former)

Doing business as: Pegasus Rx 002 Pharmacy

Registry dates

Enumerated: 2010-06-08
Last updated: 2010-10-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.