<Unavail>

LBN: Baygreen Pharmacy Corp
<Unavail> is an health care organization with primary practice located at 9860 Beach Blvd Ste C , Jacksonville FL 32246-4704. 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. Baygreen Pharmacy Corp can be contacted via phone (904) 201-8222, or through Mamtora, Parul via phone (904) 535-7514.

Contact Information

Primary practice address
9860 Beach Blvd Ste C Jacksonville FL 32246-4704
Phone: (904) 201-8222
Fax: (904) 297-4039
Website:
Map and Directions
Authorized official contact:
Name: Mamtora, Parul
Phone: (904) 535-7514

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH25960 Florida

Profile Details

NPI number 1902170889
LBN Legal business name Baygreen Pharmacy Corp
DBA Doing business as <Unavail>
Authorized official Mamtora, Parul
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2012
Last updated Sep 19th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902170889 NPPES
Florida MEDICAID 005613900
Florida Other 2133954

Popular Providers