Neovance Specialty Pharmacy Llc
Pharmacy
100 Technology Park Ste 158, Lake Mary
Florida, 32746-6205
866-842-2147 866-842-1509
Neovance Specialty Pharmacy Llc is a Pharmacy in Lake Mary, Florida. It is located at 100 Technology Park Ste 158, Lake Mary and it's customer support contact number is 866-842-2147. The authorized person of Neovance Specialty Pharmacy Llc is Mary Balaskas who is Chief Operations Officer of the pharmacy and his contact number is 312-522-9877. Active license number of Neovance Specialty Pharmacy Llc is PH23883 for Pharmacy in Florida.
Neovance Specialty Pharmacy Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Neovance Specialty Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Neovance Specialty Pharmacy Llc |
| Type: | Pharmacy |
| Location: | 100 Technology Park Ste 158, Lake Mary,
Florida, 32746-6205 |
| Phone: | 866-842-2147 |
| Fax: | 866-842-1509 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mary Balaskas |
| Position: | Chief Operations Officer |
| Contact Number: | 312-522-9877 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1780811125 |
| NPI Enumeration Date: | 12 Jun, 2009 |
| NPI Last Update On: | 02 Sep, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Neovance Specialty Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | PH23883 | Florida | Primary | |
| Community/Retail Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2120585 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 100 Technology Park, Suite 158
Lake Mary, Florida |
| Zip: | 32746-6297 |
| Phone Number: | 866-842-2147 |
| Fax Number: | 866-842-1509 |
Patients can reach Neovance Specialty Pharmacy Llc at
100 Technology Park Ste 158, Lake Mary, Florida or can
call on customer care at 866-842-2147.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.