Organization · Type 2 NPI

Florida Department of Veterans Affairs

Long Term Care Pharmacy · Land O Lakes, FL

NPI number 1700914496 Active

Practice location

6919 Parkway Blvd
Land O Lakes, FL 34639-2909

Fax (813) 558-5018

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	PH16499 (FL)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

3 other providers at this address

NPI record

NPI: 1700914496
Entity type: Organization (Type 2)
Issued: Mar 2, 2007
Last updated: Jul 8, 2026
Status: Active

Other names

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Baldomero Lopez State Veterans Nursing Home · doing business as
Baldomero Lopez State Veterans Nursing Home · other name

Authorized official

Nancy Miranda
Pharmacy Manager
(813) 558-5000

Verify this record

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 1700914496

Florida Department of Veterans Affairs's National Provider Identifier is 1700914496, issued on Mar 2, 2007. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Land O Lakes, FL. The record was last updated on Jul 8, 2026.