Provider Demographics
NPI:1023574407
Name:ORLANDO HEALTH INC.
Entity type:Organization
Organization Name:ORLANDO HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE MANAGER, RETAIL PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:ROXANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-843-8535
Mailing Address - Street 1:PO BOX 568624
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32856-8624
Mailing Address - Country:US
Mailing Address - Phone:321-843-8535
Mailing Address - Fax:
Practice Address - Street 1:1215 ATLANTA AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-3985
Practice Address - Country:US
Practice Address - Phone:321-841-8251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-11
Last Update Date:2019-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy