Wintergarden Pharmacy

LBN: Medlife Pharmacy Llc
Wintergarden Pharmacy is an health care organization with primary practice located at 736 S Dillard St Unit C , Winter Garden FL 34787-3908. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medlife Pharmacy Llc can be contacted via phone (407) 656-2604, or through Nalagandla, Vamsee Charan via phone (407) 656-2604.

Contact Information

Primary practice address
736 S Dillard St Unit C Winter Garden FL 34787-3908
Phone: (407) 656-2604
Fax: (407) 654-1464
Website:
Map and Directions
Authorized official contact:
Name: Nalagandla, Vamsee Charan
Phone: (407) 656-2604

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH29430 Florida

Profile Details

NPI number 1114343597
LBN Legal business name Medlife Pharmacy Llc
DBA Doing business as Wintergarden Pharmacy
Authorized official Nalagandla, Vamsee Charan
Entity Organization
Organization subpart 1 No
Enumeration date Mar 10th, 2014
Last updated Jul 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114343597 NPPES
Florida MEDICAID 014189300
Florida Other 2154708

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