Provider Demographics
NPI:1417478561
Name:ARIANA PHARMACY INC
Entity Type:Organization
Organization Name:ARIANA PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NILESH
Authorized Official - Middle Name:K
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:863-603-3430
Mailing Address - Street 1:1354 ARIANA ST
Mailing Address - Street 2:
Mailing Address - City:LAKELAND
Mailing Address - State:FL
Mailing Address - Zip Code:33803-1817
Mailing Address - Country:US
Mailing Address - Phone:863-603-3430
Mailing Address - Fax:863-603-8066
Practice Address - Street 1:1354 ARIANA ST
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33803-1817
Practice Address - Country:US
Practice Address - Phone:863-603-3430
Practice Address - Fax:863-603-8066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPH30820OtherFLORIDA BOARD OF PHARMACY