<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
Phone: (863) 292-6111
Fax: (863) 292-6112
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629413737 | NPPES |
| Other | 2160439 | PK | |
| MEDICAID | 017822200 | PK |
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