Provider Demographics
NPI:1649303660
Name:LENIS, SAVI NONE (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:SAVI
Middle Name:NONE
Last Name:LENIS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4837 RIDGEMOOR CIR
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-3152
Mailing Address - Country:US
Mailing Address - Phone:727-420-1161
Mailing Address - Fax:
Practice Address - Street 1:4837 RIDGEMOOR CIR
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34685-3152
Practice Address - Country:US
Practice Address - Phone:727-420-1161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0024641183500000X
FLPU4176183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist