Panama Pharmacy #2

LBN: De2 Llc
Panama Pharmacy #2 is an health care organization with primary practice located at 6022 Atlantic Blvd , Jacksonville FL 32211-7503. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. De2 Llc can be contacted via phone (904) 990-1054, or through Duane, Kevin via phone (904) 990-1054.

Contact Information

Primary practice address
6022 Atlantic Blvd Jacksonville FL 32211-7503
Phone: (904) 990-1054
Fax: (904) 990-1056
Website:
Map and Directions
Authorized official contact:
Name: Duane, Kevin
Phone: (904) 990-1054

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH31227 Florida
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1467954438
LBN Legal business name De2 Llc
DBA Doing business as Panama Pharmacy #2
Authorized official Duane, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2018
Last updated Nov 7th, 2022 - about 2 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 1467954438 NPPES
Florida MEDICAID 025153200
Florida Other 2176263

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