Klein'S Shoprite Pharmacy #563

LBN: Kleins Of Jacksonville Inc
Klein'S Shoprite Pharmacy #563 is an health care organization with primary practice located at 14330 Jarrettsville Pike , Phoenix MD 21131-1743. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Kleins Of Jacksonville Inc can be contacted via phone (410) 666-1700, or through Figueroa Rivera, Melissa via phone (732) 521-8439.

Contact Information

Primary practice address
14330 Jarrettsville Pike Phoenix MD 21131-1743
Phone: (410) 666-1700
Fax: (410) 420-8228
Website:
Map and Directions
Authorized official contact:
Name: Figueroa Rivera, Melissa
Phone: (732) 521-8439

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P04081 Maryland

Profile Details

NPI number 1558478750
LBN Legal business name Kleins Of Jacksonville Inc
DBA Doing business as Klein'S Shoprite Pharmacy #563
Authorized official Figueroa Rivera, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 21st, 2011 - about 15 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 1558478750 NPPES
Other 2127581 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 001843100 NCPDP PROVIDER IDENTIFICATION NUMBER

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