<Unavail>

LBN: Palm Rx Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 700 1St St S Ste 1 , Winter Haven FL 33880-3605. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Palm Rx Pharmacy Llc can be contacted via phone (863) 292-6111, or through Patel, Alpesh via phone (813) 304-2221.

Contact Information

Primary practice address
700 1St St S Ste 1 Winter Haven FL 33880-3605
Fax: (863) 292-6112
Website:
Authorized official contact:
Name: Patel, Alpesh

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PH30172 Florida

Profile Details

NPI number 1629413737
LBN Legal business name Palm Rx Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Patel, Alpesh
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2013
Last updated Nov 10th, 2020 - about 6 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 1629413737 NPPES
Other 2160439 PK
MEDICAID 017822200 PK

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