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Contact Information

RURAL HEALTH CARE INCORPORATED
1425 DUNN AVE
DAYTONA BEACH, FL32114
 Phone: 386-323-9808
 Fax: 386-323-9810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for RURAL HEALTH CARE INCORPORATED

NPI # 1093211393
LBN Legal business name RURAL HEALTH CARE INCORPORATED
Authorized official LARRY PEDERSON - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2018
Last updated 02/13/2020 - About 6 years ago
Identifiers
FL License # PH31307
Other 2176831 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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