Delray Shores Pharmacy
LBN: Delray Shores Pharmacy Inc
Delray Shores Pharmacy is an health care organization with primary practice located at 124 Ne 5Th Ave , Delray Beach FL 33483. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Delray Shores Pharmacy Inc can be contacted via phone (561) 272-2124, or through Dildine, Thomas via phone (561) 272-2124.
Contact Information
Primary practice address
124 Ne 5Th Ave
Delray Beach FL 33483
Phone: (561) 272-2124
Fax: (561) 272-2830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH6174 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1912086687 |
|---|---|
| LBN Legal business name | Delray Shores Pharmacy Inc |
| DBA Doing business as | Delray Shores Pharmacy |
| Authorized official | Dildine, Thomas PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 3rd, 2006 |
| Last updated | Nov 24th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912086687 | NPPES |
| Florida | MEDICAID | 103438300 | |
| Florida | Other | 2009655 |
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