One Source Pharmacy, Llc

LBN: One Source Pharmacy, Llc
One Source Pharmacy, Llc is an health care organization with primary practice located at 6404 Old Winter Garden Rd Ste 100, Orlando FL 32835. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. One Source Pharmacy, Llc can be contacted via phone (877) 490-8987, or through Vyas, Indrajit via phone (877) 490-8987.

Contact Information

Primary practice address
6404 Old Winter Garden Rd Ste 100 Orlando FL 32835
Phone: (877) 490-8987
Fax: (877) 490-1060
Website:
Map and Directions
Authorized official contact:
Name: Vyas, Indrajit
Phone: (877) 490-8987

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH25399 Florida
Suppliers / Mail Order Pharmacy 3336M0002X PENDING Florida

Profile Details

NPI number 1336326784
LBN Legal business name One Source Pharmacy, Llc
DBA Doing business as
Authorized official Vyas, Indrajit
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 29th, 2008
Last updated Jun 29th, 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 1336326784 NPPES
Florida MEDICAID 003464100

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