Northeast Florida State Hospital Pharmacy
LBN: Department Of Children & Familes
Northeast Florida State Hospital Pharmacy is an health care organization with primary practice located at 7487 S State Road 121 , Macclenny FL 32063-5451. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Department Of Children & Familes can be contacted via phone (904) 259-6211, or through Pham, Tan H via phone (904) 330-2011.
Contact Information
Primary practice address
7487 S State Road 121
Macclenny FL 32063-5451
Phone: (904) 259-6211
Fax: (904) 259-6709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1629227442 |
|---|---|
| LBN Legal business name | Department Of Children & Familes |
| DBA Doing business as | Northeast Florida State Hospital Pharmacy |
| Authorized official | Pham, Tan H PHARM.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 17th, 2008 |
| Last updated | Jul 30th, 2019 - about 5 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 | 1629227442 | NPPES |
| Florida | MEDICAID | 026002900 |
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