Havana Ltc Pharmacy Inc

LBN: Havana Ltc Pharmacy Inc
Havana Ltc Pharmacy Inc is an health care organization with primary practice located at 3818 S Himes Ave Ste 1 , Tampa FL 33611-1413. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Havana Ltc Pharmacy Inc can be contacted via phone (813) 875-5914, or through Cruz, Yamilet via phone (813) 875-5914.

Contact Information

Primary practice address
3818 S Himes Ave Ste 1 Tampa FL 33611-1413
Phone: (813) 875-5914
Fax: (813) 875-5924
Website:
Map and Directions
Authorized official contact:
Name: Cruz, Yamilet
Phone: (813) 875-5914

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH21424 Florida

Profile Details

NPI number 1437121365
LBN Legal business name Havana Ltc Pharmacy Inc
DBA Doing business as Havana Ltc Pharmacy Inc
Authorized official Cruz, Yamilet
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
Last updated Dec 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437121365 NPPES
Florida MEDICAID 030971100
Florida Other 2005033

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