Apothecary Shop

LBN: Apothecary Shop
Apothecary Shop is an health care organization with primary practice located at 437 S 11Th St , Lake Wales FL 33853-4250. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Apothecary Shop can be contacted via phone (863) 676-1174, or through Williams, James via phone (863) 676-1174.

Contact Information

Primary practice address
437 S 11Th St Lake Wales FL 33853-4250
Phone: (863) 676-1174
Fax: (863) 676-5830
Website:
Map and Directions
Authorized official contact:
Name: Williams, James
Phone: (863) 676-1174

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH006754 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1720093339
LBN Legal business name Apothecary Shop
DBA Doing business as
Authorized official Williams, James
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Mar 26th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720093339 NPPES
Florida Other P3131 BCBS OF FLORIDA
Florida Other 1013553 BCBS OF FLORIDA

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