Pharmacy At 100 Nw 170Th St, Llc

LBN: Pharmacy At 100 Nw 170Th St, Llc
Pharmacy At 100 Nw 170Th St, Llc is an health care organization with primary practice located at 15485 Eagle Nest Ln Ste 230 , Miami Lakes FL 33014-2222. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Pharmacy At 100 Nw 170Th St, Llc can be contacted via phone (917) 440-1529, or through Ray, Richard via phone (917) 440-1529.

Contact Information

Primary practice address
15485 Eagle Nest Ln Ste 230 Miami Lakes FL 33014-2222
Phone: (917) 440-1529
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ray, Richard
Phone: (917) 440-1529

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1215789946
LBN Legal business name Pharmacy At 100 Nw 170Th St, Llc
DBA Doing business as
Authorized official Ray, Richard
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2024
Last updated Apr 4th, 2024 - 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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