Wellness Pharmacy Of St Augustine

LBN: Wellness Pharmacy Of St Augustine Llc
Wellness Pharmacy Of St Augustine is an health care organization with primary practice located at 4405 Sartillo Rd Ste C , Saint Augustine FL 32095-5240. 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. Wellness Pharmacy Of St Augustine Llc can be contacted via phone (904) 429-7333, or through Ajloni, Dania via phone (904) 429-7333.

Contact Information

Primary practice address
4405 Sartillo Rd Ste C Saint Augustine FL 32095-5240
Phone: (904) 429-7333
Fax: (904) 460-2695
Website:
Map and Directions
Authorized official contact:
Name: Ajloni, Dania
Phone: (904) 429-7333

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26918 Florida

Profile Details

NPI number 1174962997
LBN Legal business name Wellness Pharmacy Of St Augustine Llc
DBA Doing business as Wellness Pharmacy Of St Augustine
Authorized official Ajloni, Dania
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2013
Last updated Oct 28th, 2016 - about 8 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 1174962997 NPPES
Florida MEDICAID 009136100
Florida Other 2140997

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