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Contact Information

WHOLE LIFE PHARMACY
10575 DIXIE HWY
PONTE VEDRA BEACH, FL32081
 Phone: 904-827-0177
 Fax: 855-319-9872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for WHOLE LIFE PHARMACY

NPI # 1336574003
LBN Legal business name WHOLE LIFE PHARMACY
Authorized official TIFFANY HEATH - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2013
Last updated 01/23/2014 - About 12 years ago
Identifiers
FL License # PH27103
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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