Organization · Type 2 NPI

Medlife Pharmacy LLC

Community/Retail Pharmacy · Winter Garden, FL

NPI number 1114343597 Active

Practice location

736 S Dillard St Unit C
Winter Garden, FL 34787-3908

Fax (407) 654-1464

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PH29430 (FL)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1114343597
Entity type: Organization (Type 2)
Issued: Mar 10, 2014
Last updated: Jul 19, 2021
Status: Active

Other names

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Wintergarden Pharmacy · doing business as
Wintergarden Pharmacy · doing business as

Authorized official

Vamsee Charan Nalagandla
Pharmacy Manager
(407) 656-2604

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114343597

Medlife Pharmacy LLC's National Provider Identifier is 1114343597, issued on Mar 10, 2014. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Winter Garden, FL. The record was last updated on Jul 19, 2021.