Eastport Pharmacy
LBN: Eastport Pharmacy Llc
Eastport Pharmacy is an health care organization with primary practice located at 8972 S Us Highway 1 , Port St Lucie FL 34952-3403. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Eastport Pharmacy Llc can be contacted via phone (772) 800-7267, or through Bazzi, Hassan via phone (772) 324-1512.
Contact Information
Primary practice address
8972 S Us Highway 1
Port St Lucie FL 34952-3403
Phone: (772) 800-7267
Fax: (772) 800-7265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH28441 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1316346620 |
|---|---|
| LBN Legal business name | Eastport Pharmacy Llc |
| DBA Doing business as | Eastport Pharmacy |
| Authorized official | Bazzi, Hassan RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 22nd, 2014 |
| Last updated | Feb 26th, 2015 - about 10 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 | 1316346620 | NPPES |
| Other | 2146100 | PK | |
| MEDICAID | 013952500 | PK |
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