Blanding Pharmacy

LBN: Blanding Pharmacy & Medical Supply, Llc
Blanding Pharmacy is an health care organization with primary practice located at 5136 Blanding Blvd , Jacksonville FL 32210-7894. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Blanding Pharmacy & Medical Supply, Llc can be contacted via phone (904) 777-2223, or through Williams, Patrick James via phone (904) 777-2223.

Contact Information

Primary practice address
5136 Blanding Blvd Jacksonville FL 32210-7894
Fax: (904) 777-2787
Website:
Authorized official contact:
Name: Williams, Patrick James R.PH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PH25156 Florida
Suppliers / Pharmacy 333600000X PH25156 Florida
Suppliers / Compounding Pharmacy 3336C0004X PH25156 Florida

Profile Details

NPI number 1255794350
LBN Legal business name Blanding Pharmacy & Medical Supply, Llc
DBA Doing business as Blanding Pharmacy
Authorized official Williams, Patrick James R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2016
Last updated Apr 5th, 2016 - about 9 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 1255794350 NPPES
Florida MEDICAID 0031111600

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