Ima South Lakeland Dispensary

LBN: Medical Home Alliance Llc
Ima South Lakeland Dispensary is an health care organization with primary practice located at 4725 Us Highway 98 S Ste 102 , Lakeland FL 33812-4334. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Medical Home Alliance Llc can be contacted via phone (863) 646-9663, or through Pichardo, Patricia via phone (407) 845-0330.

Contact Information

Primary practice address
4725 Us Highway 98 S Ste 102 Lakeland FL 33812-4334
Phone: (863) 646-9663
Fax: (863) 646-8664
Website:
Map and Directions
Authorized official contact:
Name: Pichardo, Patricia
Phone: (407) 845-0330

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1386173573
LBN Legal business name Medical Home Alliance Llc
DBA Doing business as Ima South Lakeland Dispensary
Authorized official Pichardo, Patricia
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 9th, 2017
Last updated Jun 9th, 2017 - about 7 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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