Magnolia Pharmacy
LBN: Magnolia Pharmacy Llc
Magnolia Pharmacy is an health care organization with primary practice located at 12525 Curley St , San Antonio FL 33576-7094. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Magnolia Pharmacy Llc can be contacted via phone (352) 588-3330, or through Corkrean, Shannon via phone (352) 409-1061.
Contact Information
Primary practice address
12525 Curley St
San Antonio FL 33576-7094
Phone: (352) 588-3330
Fax: (352) 588-3337
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH26768 | Florida |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1841532108 |
|---|---|
| LBN Legal business name | Magnolia Pharmacy Llc |
| DBA Doing business as | Magnolia Pharmacy |
| Authorized official | Corkrean, Shannon |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 25th, 2013 |
| Last updated | Jul 13th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841532108 | NPPES |
| Other | 2139695 | PK | |
| MEDICAID | 008645900 | PK |
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