Shands Jacksonville Ambulatory Pharmacy

LBN: Shands Jacksonville Medical Center Inc
Shands Jacksonville Ambulatory Pharmacy is an health care organization with primary practice located at 655 W 8Th St 1St Floor, Acc Bldg., Jacksonville FL 32209-6511. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Shands Jacksonville Medical Center Inc can be contacted via phone (904) 244-4542, or through Cocchi, Dean via phone (904) 244-5013.

Contact Information

Primary practice address
655 W 8Th St 1St Floor, Acc Bldg. Jacksonville FL 32209-6511
Phone: (904) 244-4542
Fax: (904) 244-4998
Website:
Map and Directions
Authorized official contact:
Name: Cocchi, Dean
Phone: (904) 244-5013

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1639267222
LBN Legal business name Shands Jacksonville Medical Center Inc
DBA Doing business as Shands Jacksonville Ambulatory Pharmacy
Authorized official Cocchi, Dean
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 10th, 2006
Last updated Feb 6th, 2019 - about 5 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 1639267222 NPPES
Florida MEDICAID 0217042-00
Florida Other 1029164
Florida Other PH16886

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