Commcare Specialty Pharmacy

LBN: Commcare Pharmacy-Wpb Llc
Commcare Specialty Pharmacy is an health care organization with primary practice located at 1689 Forum Pl , West Palm Beach FL 33401-2303. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Commcare Pharmacy-Wpb Llc can be contacted via phone (561) 615-0564, or through Bianculli, Judy via phone (954) 332-6170.

Contact Information

Primary practice address
1689 Forum Pl West Palm Beach FL 33401-2303
Fax: (561) 615-4508
Website:
Authorized official contact:
Name: Bianculli, Judy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X PH19356 Florida

Profile Details

NPI number 1770580292
LBN Legal business name Commcare Pharmacy-Wpb Llc
DBA Doing business as Commcare Specialty Pharmacy
Authorized official Bianculli, Judy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 20th, 2016 - about 8 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 1770580292 NPPES
Other 2015699 PK
MEDICAID 026144100 PK

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