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Contact Information

RADIANCE PHARMACY INC.
110 CLEARWATER LARGO RD S
LARGO, FL33770-3233
 Phone: 727-588-9878
 Fax: 727-588-9858
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Dialysis Equipment & Supplies

332BD1200X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for RADIANCE PHARMACY INC.

NPI # 1710985544
LBN Legal business name RADIANCE PHARMACY INC.
Authorized official NWANDO NWANNA - (PHARAMCIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/14/2005
Last updated 09/11/2025 - About 9 months ago
Identifiers
FL License # PH 20948
FL License # PH20948
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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