<Unavail>

LBN: Wellness Pharmacy Of St Augustine Llc
<Unavail> is an health care organization with primary practice located at 4405 Sartillo Rd Suite B, St Augustine FL 32095-5240. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Wellness Pharmacy Of St Augustine Llc can be contacted via phone (904) 429-7333, or through Ajloni, Dino via phone (904) 429-7333.

Contact Information

Primary practice address
4405 Sartillo Rd Suite B St Augustine FL 32095-5240
Phone: (904) 429-7333
Fax: (904) 460-2695
Website:
Map and Directions
Authorized official contact:
Name: Ajloni, Dino PHARMD
Phone: (904) 429-7333

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PH26918 Florida

Profile Details

NPI number 1902202898
LBN Legal business name Wellness Pharmacy Of St Augustine Llc
DBA Doing business as <Unavail>
Authorized official Ajloni, Dino PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2014
Last updated Nov 5th, 2014 - about 12 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 1902202898 NPPES
Florida MEDICAID 009136100
Florida Other 5715252
Florida Other PH26918

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