Provider Demographics
NPI:1639500275
Name:UNIVV INC
Entity Type:Organization
Organization Name:UNIVV INC
Other - Org Name:LEHIGH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ANILKUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:HARKHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-366-4496
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:239-491-2932
Practice Address - Street 1:2814 LEE BLVD
Practice Address - Street 2:UNIT-1
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-1567
Practice Address - Country:US
Practice Address - Phone:239-491-2909
Practice Address - Fax:239-491-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
FLPH272773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2143427OtherPK