Mass Pharmacy

LBN: Gracious Health Mart Llc
Mass Pharmacy is an health care organization with primary practice located at 4237 Salisbury Rd Bldg 3 , Jacksonville FL 32216-8029. The organization recently has only one registered license in Suppliers / Long Term Care Pharmacy, which is considered as the primary health care specialty. Gracious Health Mart Llc can be contacted via phone (904) 683-4298, or through Mims, Krystal via phone (334) 819-4500.

Contact Information

Primary practice address
4237 Salisbury Rd Bldg 3 Jacksonville FL 32216-8029
Phone: (904) 683-4298
Fax: (904) 683-4922
Website:
Map and Directions
Authorized official contact:
Name: Mims, Krystal
Phone: (334) 819-4500

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1245895929
LBN Legal business name Gracious Health Mart Llc
DBA Doing business as Mass Pharmacy
Authorized official Mims, Krystal
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2019
Last updated Aug 7th, 2023 - 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 1245895929 NPPES
Florida MEDICAID 113393600

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