<Unavail>

LBN: Goldtree Rx Llc
<Unavail> is an health care organization with primary practice located at 1401 Se Goldtree Dr Ste 103 , Port St Lucie FL 34952-7584. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Goldtree Rx Llc can be contacted via phone (772) 237-4426, or through Tobia, Toma via phone (281) 827-4652.

Contact Information

Primary practice address
1401 Se Goldtree Dr Ste 103 Port St Lucie FL 34952-7584
Phone: (772) 237-4426
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tobia, Toma
Phone: (281) 827-4652

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Compounding Pharmacy 3336C0004X PH26113 Florida

Profile Details

NPI number 1740530013
LBN Legal business name Goldtree Rx Llc
DBA Doing business as <Unavail>
Authorized official Tobia, Toma
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2012
Last updated Nov 13th, 2012 - about 14 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 1740530013 NPPES
Other 5711773 NCPDP PROVIDER IDENTIFICATION NUMBER

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