Port Orange Pharmacy

LBN: Marimina Llc
Port Orange Pharmacy is an health care organization with primary practice located at 5820 S Williamson Blvd Ste 2 , Port Orange FL 32128-6401. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Marimina Llc can be contacted via phone (386) 212-0591, or through Ghabras, Dimetry via phone (386) 212-0591.

Contact Information

Primary practice address
5820 S Williamson Blvd Ste 2 Port Orange FL 32128-6401
Phone: (386) 212-0591
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ghabras, Dimetry RPH
Phone: (386) 212-0591

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X Florida

Profile Details

NPI number 1932602372
LBN Legal business name Marimina Llc
DBA Doing business as Port Orange Pharmacy
Authorized official Ghabras, Dimetry RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 12th, 2018
Last updated Mar 12th, 2018 - about 6 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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