Medcity Pharmacy

LBN: Medcity Pharmacy
Medcity Pharmacy is an health care organization with primary practice located at 463688 Sr 200 Suite #6, Yulee FL 32097. 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. Medcity Pharmacy can be contacted via phone (904) 432-3810, or through Edara, Sumanth via phone (904) 252-1568.

Contact Information

Primary practice address
463688 Sr 200 Suite #6 Yulee FL 32097
Phone: (904) 432-3810
Fax: (904) 432-3811
Website:
Map and Directions
Authorized official contact:
Name: Edara, Sumanth
Phone: (904) 252-1568

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH26731 Florida
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1992047260
LBN Legal business name Medcity Pharmacy
DBA Doing business as Medcity Pharmacy
Authorized official Edara, Sumanth
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2013
Last updated Mar 25th, 2013 - about 13 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 1992047260 NPPES
Other 5713816 NCPDP PROVIDER IDENTIFICATION NUMBER

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