Guardian Pharmacy Of Nw Florida

LBN: Guardian Pharmacy Of Nw Florida
Guardian Pharmacy Of Nw Florida is an health care organization with primary practice located at 212 N Wilson St , Crestview FL 32536-3438. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Guardian Pharmacy Of Nw Florida can be contacted via phone (850) 306-3003, or through Dunn, Robert via phone (850) 306-3003.

Contact Information

Primary practice address
212 N Wilson St Crestview FL 32536-3438
Fax: (850) 306-3004
Website:
Authorized official contact:
Name: Dunn, Robert

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH25396 Florida

Profile Details

NPI number 1861798613
LBN Legal business name Guardian Pharmacy Of Nw Florida
DBA Doing business as Guardian Pharmacy Of Nw Florida
Authorized official Dunn, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2011
Last updated Jul 21st, 2022 - 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 1861798613 NPPES
Other 2129820 PK
MEDICAID 003506200 PK

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