Magellan Rx Pharmacy

LBN: Magellan Rx Pharmacy Llc
Magellan Rx Pharmacy is an health care organization with primary practice located at 6870 Shadowridge Dr Ste 111, Orlando FL 32812-9002. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. Magellan Rx Pharmacy Llc can be contacted via phone (866) 554-2673, or through Wong, Kuo via phone (866) 554-2673.

Contact Information

Primary practice address
6870 Shadowridge Dr Ste 111 Orlando FL 32812-9002
Phone: (866) 554-2673
Fax: (866) 364-2673
Website:
Map and Directions
Authorized official contact:
Name: Wong, Kuo RPH
Phone: (866) 554-2673

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Specialty Pharmacy 3336S0011X PH19541 Florida

Profile Details

NPI number 1245241884
LBN Legal business name Magellan Rx Pharmacy Llc
DBA Doing business as Magellan Rx Pharmacy
Authorized official Wong, Kuo RPH
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 14th, 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 1245241884 NPPES
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 10132338040002
Wisconsin Other 2006243
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 200855460A
Wisconsin MEDICAID 30708673
Wisconsin MEDICAID 100265185-00
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 513347297001
Wisconsin MEDICAID 538884
Wisconsin MEDICAID 031904000
Wisconsin MEDICAID 1612421
Wisconsin MEDICAID 200412310A
Wisconsin MEDICAID 589259
Wisconsin MEDICAID ATN66122
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 1245241884
Wisconsin MEDICAID 415778800
Wisconsin MEDICAID 54012687
Wisconsin MEDICAID 600200927
Wisconsin MEDICAID 1528692
Wisconsin MEDICAID 7F9541

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