Southcare Pharmacy

LBN: Southcare Pharmacy Inc.
Southcare Pharmacy is an health care organization with primary practice located at 6450 38Th Ave N Ste A1 , Saint Petersburg FL 33710-1645. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Southcare Pharmacy Inc. can be contacted via phone (727) 344-3902, or through Brand, Carly via phone (727) 344-3902.

Contact Information

Primary practice address
6450 38Th Ave N Ste A1 Saint Petersburg FL 33710-1645
Fax: (727) 343-1356
Website:
Authorized official contact:
Name: Brand, Carly

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH25055 Florida

Profile Details

NPI number 1720439532
LBN Legal business name Southcare Pharmacy Inc.
DBA Doing business as Southcare Pharmacy
Authorized official Brand, Carly
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2016
Last updated May 24th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720439532 NPPES
Other 2160733 PK
MEDICAID 003481800 PK

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