Provider Demographics
NPI:1861793655
Name:ARIA PHARMACY SERVICES LLC
Entity type:Organization
Organization Name:ARIA PHARMACY SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:941-914-9991
Mailing Address - Street 1:3633 CORTEZ RD W
Mailing Address - Street 2:UNIT B-9
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34210-3119
Mailing Address - Country:US
Mailing Address - Phone:941-914-9991
Mailing Address - Fax:941-914-9160
Practice Address - Street 1:3633 CORTEZ RD W STE B9
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34210-3156
Practice Address - Country:US
Practice Address - Phone:941-914-9991
Practice Address - Fax:941-914-9160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0004X, 3336L0003X, 333600000X
FLPH250543336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5702661OtherNCPDP PROVIDER IDENTIFICATION NUMBER
FL003018900Medicaid