Synergy Specialty Pharmacy

LBN: Emerald Coast Infectious Diseases Medical Group, Pa
Synergy Specialty Pharmacy is an health care organization with primary practice located at 917 Mar Walt Drive Suite D, Fort Walton Beach FL 32547-6651. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Emerald Coast Infectious Diseases Medical Group, Pa can be contacted via phone (850) 312-3570, or through Anastasio, Sandy via phone (850) 862-3979.

Contact Information

Primary practice address
917 Mar Walt Drive Suite D Fort Walton Beach FL 32547-6651
Fax: (850) 312-3090
Website:
Authorized official contact:
Name: Anastasio, Sandy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PH30219 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1154773950
LBN Legal business name Emerald Coast Infectious Diseases Medical Group, Pa
DBA Doing business as Synergy Specialty Pharmacy
Authorized official Anastasio, Sandy
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2016
Last updated Mar 23rd, 2023 - 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 1154773950 NPPES
Other 2160919 PK

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