Provider Demographics
NPI:1326585035
Name:UNIVV II INC
Entity Type:Organization
Organization Name:UNIVV II INC
Other - Org Name:LEELAND PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:
Authorized Official - Last Name:HARKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-491-2909
Mailing Address - Street 1:2814 LEE BLVD
Mailing Address - Street 2:UNIT-1
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33971-1567
Mailing Address - Country:US
Mailing Address - Phone:239-491-2909
Mailing Address - Fax:
Practice Address - Street 1:700 LEELAND HEIGHTS BLVD W STE 100
Practice Address - Street 2:SUITE-100
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-6662
Practice Address - Country:US
Practice Address - Phone:239-491-2909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH305713336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2167343OtherPK