Extracare City Pharmacy

LBN: Extra Care City Pharmacy Llc
Extracare City Pharmacy is an health care organization with primary practice located at 1000 Executive Dr Ste 2 , Oviedo FL 32765-8140. 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. Extra Care City Pharmacy Llc can be contacted via phone (407) 890-9241, or through Obidike, Uchenna via phone (716) 816-5252.

Contact Information

Primary practice address
1000 Executive Dr Ste 2 Oviedo FL 32765-8140
Phone: (407) 890-9241
Fax: (407) 542-5164
Website:
Map and Directions
Authorized official contact:
Name: Obidike, Uchenna
Phone: (716) 816-5252

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH30389 Florida

Profile Details

NPI number 1861942740
LBN Legal business name Extra Care City Pharmacy Llc
DBA Doing business as Extracare City Pharmacy
Authorized official Obidike, Uchenna
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2016
Last updated Sep 24th, 2021 - about 5 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 1861942740 NPPES
Other 2164639 PK
MEDICAID 020010800 PK

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