<Unavail>

LBN: Rx-Mart Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 665 State Road 207 Suite 101, St Augustine FL 32084-5938. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Rx-Mart Pharmacy Llc can be contacted via phone (904) 342-2162, or through Kondu, Swapna via phone (904) 342-2162.

Contact Information

Primary practice address
665 State Road 207 Suite 101 St Augustine FL 32084-5938
Phone: (904) 342-2162
Fax: (904) 547-2732
Website:
Map and Directions
Authorized official contact:
Name: Kondu, Swapna RPH
Phone: (904) 342-2162

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH27104 Florida

Profile Details

NPI number 1366871774
LBN Legal business name Rx-Mart Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Kondu, Swapna RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2013
Last updated Jun 2nd, 2015 - about 11 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 1366871774 NPPES
Other 2142731 PK
MEDICAID 010548300 PK

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