Vistara Specialty Pharmacy

LBN: Eckerds Pharmacy Llc
Vistara Specialty Pharmacy is an health care organization with primary practice located at 4404 66Th St N , Kenneth City FL 33709-4922. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Eckerds Pharmacy Llc can be contacted via phone (727) 513-1107, or through Patel, Bhaveshkumar via phone (813) 900-4995.

Contact Information

Primary practice address
4404 66Th St N Kenneth City FL 33709-4922
Phone: (727) 513-1107
Fax: (727) 513-1109
Website:
Map and Directions
Authorized official contact:
Name: Patel, Bhaveshkumar
Phone: (813) 900-4995

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1578198560
LBN Legal business name Eckerds Pharmacy Llc
DBA Doing business as Vistara Specialty Pharmacy
Authorized official Patel, Bhaveshkumar
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 10th, 2020
Last updated Jan 18th, 2024 - about last year

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 1578198560 NPPES
Florida MEDICAID 101899100

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