Mango Pharmacy
LBN: Mango Pharmacy Llc
Mango Pharmacy is an health care organization with primary practice located at 11509 Dr Martin Luther King Jr Blvd , Mango FL 33550. The organization recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Mango Pharmacy Llc can be contacted via phone (813) 661-2263, or through Patel, Alpesh via phone (813) 661-2263.
Contact Information
Primary practice address
11509 Dr Martin Luther King Jr Blvd
Mango FL 33550
Phone: (813) 661-2263
Fax: (813) 662-2263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PH29956 | Florida |
Profile Details
| NPI number | 1669785168 |
|---|---|
| LBN Legal business name | Mango Pharmacy Llc |
| DBA Doing business as | Mango Pharmacy |
| Authorized official | Patel, Alpesh |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 26th, 2010 |
| Last updated | Jul 9th, 2021 - about 5 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 | 1669785168 | NPPES |
| Florida | MEDICAID | 017041900 | |
| Florida | Other | 2158271 |
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