Palm Coast Pharmacy Inc

LBN: Palm Coast Pharmacy Inc
Palm Coast Pharmacy Inc is an health care organization with primary practice located at 9 Pine Cone Dr Suite 109, Palm Coast FL 32137-8686. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Palm Coast Pharmacy Inc can be contacted via phone (386) 597-7400, or through Krayter, Valeriy via phone (386) 597-7400.

Contact Information

Primary practice address
9 Pine Cone Dr Suite 109 Palm Coast FL 32137-8686
Phone: (386) 597-7400
Fax: (386) 246-7515
Website:
Map and Directions
Authorized official contact:
Name: Krayter, Valeriy
Phone: (386) 597-7400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH24188 Florida
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1962637496
LBN Legal business name Palm Coast Pharmacy Inc
DBA Doing business as
Authorized official Krayter, Valeriy
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2009
Last updated Mar 7th, 2023 - about last year

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 1962637496 NPPES
Florida MEDICAID 001391500

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