Floresta Pharmacy
LBN: Mahant Pharmacy Inc
Floresta Pharmacy is an health care organization with primary practice located at 1550 Se Floresta Dr , Port St Lucie FL 34983-4069. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mahant Pharmacy Inc can be contacted via phone (772) 340-4142, or through Shah, Urmil via phone (848) 667-3791.
Contact Information
Primary practice address
1550 Se Floresta Dr
Port St Lucie FL 34983-4069
Phone: (772) 340-4142
Fax: (772) 785-5753
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Customized Equipment | 332BC3200X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH30595 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1477731305 |
|---|---|
| LBN Legal business name | Mahant Pharmacy Inc |
| DBA Doing business as | Floresta Pharmacy |
| Authorized official | Shah, Urmil |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 2008 |
| Last updated | Jun 29th, 2021 - about 3 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 | 1477731305 | NPPES |
| Florida | MEDICAID | 019934700 |
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