Extended Care Pharmacy East Inc

LBN: Extended Care Pharmacy East Inc
Extended Care Pharmacy East Inc is an health care organization with primary practice located at 305 S Us Highway 17 , East Palatka FL 32131-4092. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Extended Care Pharmacy East Inc can be contacted via phone (386) 326-4487, or through Phillips, Mark Casey via phone (386) 326-4487.

Contact Information

Primary practice address
305 S Us Highway 17 East Palatka FL 32131-4092
Phone: (386) 326-4487
Fax: (386) 326-4437
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Mark Casey
Phone: (386) 326-4487

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH26112 Florida

Profile Details

NPI number 1821375460
LBN Legal business name Extended Care Pharmacy East Inc
DBA Doing business as Extended Care Pharmacy East Inc
Authorized official Phillips, Mark Casey
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2011
Last updated Aug 7th, 2012 - about 12 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 1821375460 NPPES
Other 5708118 NCPDP PROVIDER IDENTIFICATION NUMBER

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