South Bay Pharmacy

LBN: Goncan, Inc
South Bay Pharmacy is an health care organization with primary practice located at 155 Us Highway 27 S , South Bay FL 33493-2213. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Goncan, Inc can be contacted via phone (561) 992-9220, or through Nwaobi, Godwin A via phone (561) 992-9220.

Contact Information

Primary practice address
155 Us Highway 27 S South Bay FL 33493-2213
Phone: (561) 992-9220
Fax: (561) 992-9330
Website:
Map and Directions
Authorized official contact:
Name: Nwaobi, Godwin A R.PH
Phone: (561) 992-9220

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH 13892 Florida

Profile Details

NPI number 1467472670
LBN Legal business name Goncan, Inc
DBA Doing business as South Bay Pharmacy
Authorized official Nwaobi, Godwin A R.PH
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2006
Last updated Aug 1st, 2007 - about 19 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 1467472670 NPPES
Florida MEDICAID 103475800

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