Kingsley Pharmacy

LBN: Pines Discount Pharmacy Inc
Kingsley Pharmacy is an health care organization with primary practice located at 2020 Kingsley Ave Ste 2B , Orange Park FL 32073-5181. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pines Discount Pharmacy Inc can be contacted via phone (904) 527-7330, or through Daly, Jessica Lee via phone (561) 214-3828.

Contact Information

Primary practice address
2020 Kingsley Ave Ste 2B Orange Park FL 32073-5181
Phone: (904) 527-7330
Fax: (904) 527-7331
Website:
Map and Directions
Authorized official contact:
Name: Daly, Jessica Lee
Phone: (561) 214-3828

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH24151 Florida

Profile Details

NPI number 1811053705
LBN Legal business name Pines Discount Pharmacy Inc
DBA Doing business as Kingsley Pharmacy
Authorized official Daly, Jessica Lee
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Oct 26th, 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 1811053705 NPPES
Florida MEDICAID 030963000
Florida Other 2004927

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