Provider Demographics
NPI:1497053920
Name:ANP GROUP LLC
Entity Type:Organization
Organization Name:ANP GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BIJU
Authorized Official - Middle Name:ERALY
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:727-845-8000
Mailing Address - Street 1:5335 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:NEWPORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653
Mailing Address - Country:US
Mailing Address - Phone:727-845-8000
Mailing Address - Fax:727-845-8008
Practice Address - Street 1:5335 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2510
Practice Address - Country:US
Practice Address - Phone:727-845-8000
Practice Address - Fax:727-845-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPH25114333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy