Amex Pharmacy

LBN: Pacifico National Inc
Amex Pharmacy is an health care organization with primary practice located at 1515 Elizabeth St Ste J, Melbourne FL 32901-3000. The organization recently has only one registered license in Suppliers / Compounding Pharmacy, which is considered as the primary health care specialty. Pacifico National Inc can be contacted via phone (321) 872-0723, or through Sangree, Mark via phone (321) 872-0723.

Contact Information

Primary practice address
1515 Elizabeth St Ste J Melbourne FL 32901-3000
Phone: (321) 872-0723
Fax: (321) 872-0721
Website:
Map and Directions
Authorized official contact:
Name: Sangree, Mark
Phone: (321) 872-0723

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X 16452MS Idaho
Suppliers / Compounding Pharmacy 3336C0004X 5301008923 Michigan
Suppliers / Compounding Pharmacy 3336C0004X PH27532 Florida
Suppliers / Compounding Pharmacy 3336C0004X FL1446 Kentucky
Suppliers / Compounding Pharmacy 3336C0004X NRX1701137 District of Columbia
Suppliers / Compounding Pharmacy 3336C0004X A9-0001042 Delaware
Suppliers / Compounding Pharmacy 3336C0004X 3942 Iowa
Suppliers / Compounding Pharmacy 3336C0004X P03052 Maryland
Suppliers / Compounding Pharmacy 3336C0004X 64000903A Indiana
Suppliers / Compounding Pharmacy 3336C0004X 22-02899 Kansas
Suppliers / Compounding Pharmacy 3336C0004X PHNR 000556 Georgia
Suppliers / Compounding Pharmacy 3336C0004X 006292 Louisiana
Suppliers / Compounding Pharmacy 3336C0004X 054.016601 Illinois
Suppliers / Compounding Pharmacy 3336C0004X PMP-1330 Hawaii
Suppliers / Compounding Pharmacy 3336C0004X Alabama

Profile Details

NPI number 1366416448
LBN Legal business name Pacifico National Inc
DBA Doing business as Amex Pharmacy
Authorized official Sangree, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2006
Last updated Apr 20th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366416448 NPPES
Minnesota MEDICAID 1366416448
Minnesota MEDICAID 1366416448
Minnesota MEDICAID 226807
Minnesota MEDICAID 546330
Minnesota MEDICAID 1000055714
Minnesota MEDICAID 1366416448
Minnesota MEDICAID 1366416448
Minnesota MEDICAID 2856995
Minnesota MEDICAID 02199910
Minnesota MEDICAID 134038
Minnesota Other 2013120
Minnesota MEDICAID 201352590A
Minnesota MEDICAID 7100410000
Minnesota MEDICAID 10026562600
Minnesota MEDICAID 1028490
Minnesota MEDICAID 105780400
Minnesota MEDICAID 200647710A
Minnesota MEDICAID 1366416448
Minnesota MEDICAID 2059467
Minnesota MEDICAID 500707688

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