Extended Care Pharmacy, Inc.

LBN: Extended Care Pharmacy, Inc.
Extended Care Pharmacy, Inc. is an health care organization with primary practice located at 6400 Crill Ave , Palatka FL 32177-3876. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Extended Care Pharmacy, Inc. can be contacted via phone (386) 325-5505, or through Phillips, Mark Casey via phone (386) 325-5505.

Contact Information

Primary practice address
6400 Crill Ave Palatka FL 32177-3876
Phone: (386) 325-5505
Fax: (386) 328-9393
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Mark Casey
Phone: (386) 325-5505

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X

Profile Details

NPI number 1013913680
LBN Legal business name Extended Care Pharmacy, Inc.
DBA Doing business as
Authorized official Phillips, Mark Casey
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2005
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 1013913680 NPPES
Florida MEDICAID 032497300
Florida Other 1088803

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