Fleming Island Pharmacy
LBN: Fleming Island Pharmacy Llc
Fleming Island Pharmacy is an health care organization with primary practice located at 2349 Village Square Pkwy Ste 106 , Fleming Island FL 32003-4319. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fleming Island Pharmacy Llc can be contacted via phone (904) 644-8233, or through Joseph, Mikhil via phone (904) 718-7352.
Contact Information
Primary practice address
2349 Village Square Pkwy Ste 106
Fleming Island FL 32003-4319
Phone: (904) 644-8233
Fax: (904) 458-4444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH27325 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1760882245 |
|---|---|
| LBN Legal business name | Fleming Island Pharmacy Llc |
| DBA Doing business as | Fleming Island Pharmacy |
| Authorized official | Joseph, Mikhil PHARMD. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 3rd, 2014 |
| Last updated | Feb 20th, 2017 - about 7 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 | 1760882245 | NPPES |
| Florida | MEDICAID | 013196400 | |
| Florida | Other | 2147634 |
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