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 / Mail Order Pharmacy. Suppliers / Mail Order 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 / Mail Order Pharmacy 3336M0002X PH19541 Florida

Profile Details

NPI number 1558738864
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 24th, 2015
Last updated Mar 14th, 2023 - 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 1558738864 NPPES
Tennessee MEDICAID 1528692
Tennessee MEDICAID 54012687
Tennessee MEDICAID 7F9541
Tennessee MEDICAID ATN66122
Tennessee MEDICAID 031904000
Tennessee MEDICAID 101323804-0002
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 415778800
Tennessee MEDICAID 600200927
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 200855460A
Tennessee Other 2153807
Tennessee MEDICAID 589259
Tennessee MEDICAID 100265185-00
Tennessee MEDICAID 200412310A
Tennessee MEDICAID 513347297001
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 538884
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 1245241884
Tennessee MEDICAID 1612421
Tennessee MEDICAID 30708673

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