<Unavail>

LBN: Lake Ella Pharmacy
<Unavail> is an health care organization with primary practice located at 2525 S Monroe St Ste 6 , Tallahassee FL 32301-6353. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Lake Ella Pharmacy can be contacted via phone (850) 727-8736, or through Mensah-Mamfo, Samuel via phone (850) 284-4660.

Contact Information

Primary practice address
2525 S Monroe St Ste 6 Tallahassee FL 32301-6353
Phone: (850) 727-8736
Fax: (850) 727-8736
Website:
Map and Directions
Authorized official contact:
Name: Mensah-Mamfo, Samuel
Phone: (850) 284-4660

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26779 Florida

Profile Details

NPI number 1407199169
LBN Legal business name Lake Ella Pharmacy
DBA Doing business as <Unavail>
Authorized official Mensah-Mamfo, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2013
Last updated Dec 27th, 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 1407199169 NPPES
Other 2139664 PK

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