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Contact Information

HALIFAX HOSPITAL MEDICAL CENTER
303 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL32114-2709
 Phone: 386-254-4197
 Fax: 386-947-4613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 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 HALIFAX HOSPITAL MEDICAL CENTER

NPI # 1356358394
LBN Legal business name HALIFAX HOSPITAL MEDICAL CENTER
Authorized official JAMES SHEPHERD - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2006
Last updated 09/14/2016 - About 10 years ago
Identifiers
FL License # PH8086
Other 2009662 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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