Medplex Pharmacy

LBN: Tirumala Pharmacy Inc
Medplex Pharmacy is an health care organization with primary practice located at 4106 W Lake Mary Blvd Ste 130 , Lake Mary FL 32746-3383. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Tirumala Pharmacy Inc can be contacted via phone (407) 878-7615, or through Kondapalli, Sivaramakrishna via phone (407) 878-7615.

Contact Information

Primary practice address
4106 W Lake Mary Blvd Ste 130 Lake Mary FL 32746-3383
Fax: (407) 878-7616
Website:
Authorized official contact:
Name: Kondapalli, Sivaramakrishna

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH25563 Florida
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1275821134
LBN Legal business name Tirumala Pharmacy Inc
DBA Doing business as Medplex Pharmacy
Authorized official Kondapalli, Sivaramakrishna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2011
Last updated Oct 30th, 2015 - about 9 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 1275821134 NPPES
Other 5706582 NCPDP PROVIDER IDENTIFICATION NUMBER

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