<Unavail>

LBN: Villa Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 105 Avenue R Nw , Winter Haven FL 33881-2147. 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. Villa Pharmacy Llc can be contacted via phone (863) 229-5978, or through Jones, Dwayne via phone (863) 229-5978.

Contact Information

Primary practice address
105 Avenue R Nw Winter Haven FL 33881-2147
Phone: (863) 229-5978
Fax: (863) 662-3953
Website:
Map and Directions
Authorized official contact:
Name: Jones, Dwayne
Phone: (863) 229-5978

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X PH2986 Florida

Profile Details

NPI number 1215396346
LBN Legal business name Villa Pharmacy Llc
DBA Doing business as <Unavail>
Authorized official Jones, Dwayne
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2016
Last updated Jul 5th, 2016 - about 10 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 1215396346 NPPES
Other 2158247 PK

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