<Unavail>

LBN: Father David Llc
<Unavail> is an health care organization with primary practice located at 6624 Us Highway 19 , New Port Richey FL 34652-1739. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Father David Llc can be contacted via phone (727) 807-7050, or through Nathan, Suba via phone (727) 807-7050.

Contact Information

Primary practice address
6624 Us Highway 19 New Port Richey FL 34652-1739
Phone: (727) 807-7050
Fax: (727) 807-6050
Website:
Map and Directions
Authorized official contact:
Name: Nathan, Suba PHARMD
Phone: (727) 807-7050

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1114573748
LBN Legal business name Father David Llc
DBA Doing business as <Unavail>
Authorized official Nathan, Suba PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2019
Last updated May 6th, 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 1114573748 NPPES
Florida MEDICAID 005454800

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