Provider Demographics
NPI:1407180276
Name:ARSANYS LLC
Entity Type:Organization
Organization Name:ARSANYS LLC
Other - Org Name:GOOD SHEPHERD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BENIAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-642-3054
Mailing Address - Street 1:2543 BUTTERFLY LANDING DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7228
Mailing Address - Country:US
Mailing Address - Phone:646-642-3054
Mailing Address - Fax:
Practice Address - Street 1:13033 CORTEZ BLVD
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:FL
Practice Address - Zip Code:34613-4838
Practice Address - Country:US
Practice Address - Phone:646-642-3054
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-28
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH24262333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH24262OtherSTATE LICENSE