Commcare Specialty Pharmacy
LBN: Commcare Pharmacy-Wpb Llc
Commcare Specialty Pharmacy is an health care organization with primary practice located at 1689 Forum Pl , West Palm Beach FL 33401-2303. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty.
Commcare Pharmacy-Wpb Llc can be contacted via phone (561) 615-0564, or through Bianculli, Judy via phone (954) 332-6170.
Contact Information
Primary practice address
1689 Forum Pl
West Palm Beach FL 33401-2303
Phone: (561) 615-0564
Fax: (561) 615-4508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X | PH19356 | Florida |
Profile Details
| NPI number | 1770580292 |
|---|---|
| LBN Legal business name | Commcare Pharmacy-Wpb Llc |
| DBA Doing business as | Commcare Specialty Pharmacy |
| Authorized official | Bianculli, Judy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Jun 20th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770580292 | NPPES |
| Other | 2015699 | PK | |
| MEDICAID | 026144100 | PK |
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