45Th Street Pharmacy
LBN: Jag Pharmacy And Health Services
45Th Street Pharmacy is an health care organization with primary practice located at 5335 N Military Trl Ste 44 , West Palm Beach FL 33407-3033. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Jag Pharmacy And Health Services can be contacted via phone (561) 670-2001, or through Oluwamayowa, Ganiat via phone (786) 877-9297.
Contact Information
Primary practice address
5335 N Military Trl Ste 44
West Palm Beach FL 33407-3033
Phone: (561) 670-2001
Fax: (561) 828-8454
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH26266 | Florida |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1073868386 |
|---|---|
| LBN Legal business name | Jag Pharmacy And Health Services |
| DBA Doing business as | 45Th Street Pharmacy |
| Authorized official | Oluwamayowa, Ganiat |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2012 |
| Last updated | Apr 20th, 2016 - about 8 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 | 1073868386 | NPPES |
| Other | 2136375 | PK | |
| MEDICAID | 007284500 | PK |
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