F/K/A Medoz Pharmacy Of Polk Inc

LBN: Medoz Pharmacy Of Polk Llc
F/K/A Medoz Pharmacy Of Polk Inc is an health care organization with primary practice located at 40230 Us Highway 27 N Suite 100-110, Davenport FL 33837-2636. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Medoz Pharmacy Of Polk Llc can be contacted via phone (855) 633-6948, or through Mermelstein, Abraham via phone (732) 267-7782.

Contact Information

Primary practice address
40230 Us Highway 27 N Suite 100-110 Davenport FL 33837-2636
Fax: (844) 329-6348
Website:
Authorized official contact:
Name: Mermelstein, Abraham

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PH28722 Florida
Suppliers / Community/Retail Pharmacy 3336C0003X PH28722 Florida
Suppliers / Compounding Pharmacy 3336C0004X PS28722 Florida
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1346647005
LBN Legal business name Medoz Pharmacy Of Polk Llc
DBA Doing business as F/K/A Medoz Pharmacy Of Polk Inc
Authorized official Mermelstein, Abraham
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2014
Last updated Aug 25th, 2022 - 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 1346647005 NPPES
Florida Other PH28722 PHARMACY STATE LICENSE NUMBER
Florida MEDICAID 014712100 PHARMACY STATE LICENSE NUMBER

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