Orange Park Pharmacy Ltc

LBN: Orange Park Pharmacy Inc
Orange Park Pharmacy Ltc is an health care organization with primary practice located at 1992 Kingsley Ave Suite B, Orange Park FL 32073-4442. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Orange Park Pharmacy Inc can be contacted via phone (904) 579-3027, or through Mohamed, Abdalla via phone (904) 579-3027.

Contact Information

Primary practice address
1992 Kingsley Ave Suite B Orange Park FL 32073-4442
Phone: (904) 579-3027
Fax: (904) 579-4551
Website:
Map and Directions
Authorized official contact:
Name: Mohamed, Abdalla PHARMD
Phone: (904) 579-3027

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH30423 Florida

Profile Details

NPI number 1699227025
LBN Legal business name Orange Park Pharmacy Inc
DBA Doing business as Orange Park Pharmacy Ltc
Authorized official Mohamed, Abdalla PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2016
Last updated Jul 19th, 2018 - about 8 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 1699227025 NPPES
Other 2166209 PK
MEDICAID 023871800 PK

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