Seaside Family Pharmacy

LBN: Seaside Family Pharmacy Llc
Seaside Family Pharmacy is an health care organization with primary practice located at 4075 A1A S Ste 102, St Augustine FL 32080-6773. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Seaside Family Pharmacy Llc can be contacted via phone (904) 461-3299, or through Pennington, James via phone (904) 461-3299.

Contact Information

Primary practice address
4075 A1A S Ste 102 St Augustine FL 32080-6773
Phone: (904) 461-3299
Fax: (904) 461-3277
Website:
Map and Directions
Authorized official contact:
Name: Pennington, James RPH
Phone: (904) 461-3299

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH21889 Florida

Profile Details

NPI number 1245283423
LBN Legal business name Seaside Family Pharmacy Llc
DBA Doing business as Seaside Family Pharmacy
Authorized official Pennington, James RPH
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Feb 6th, 2012 - about 12 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 1245283423 NPPES
Florida MEDICAID 031351200
Florida Other 1018301

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