Palmyra Pharmacy Llc

LBN: Palmyra Pharmacy Llc
Palmyra Pharmacy Llc is an health care organization with primary practice located at 13080 Cortez Blvd , Brooksville FL 34613-4854. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Palmyra Pharmacy Llc can be contacted via phone (352) 600-7572, or through Haraka, Mohab via phone (352) 213-3815.

Contact Information

Primary practice address
13080 Cortez Blvd Brooksville FL 34613-4854
Phone: (352) 600-7572
Fax: (352) 600-7675
Website:
Map and Directions
Authorized official contact:
Name: Haraka, Mohab
Phone: (352) 213-3815

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 30300 Florida

Profile Details

NPI number 1497209159
LBN Legal business name Palmyra Pharmacy Llc
DBA Doing business as
Authorized official Haraka, Mohab
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2016
Last updated Dec 20th, 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 1497209159 NPPES
Florida MEDICAID 019942700

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