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Contact Information

ISLAND FAMILY PHARMACY INC
600 PLANTATION ISLAND DR S, UNIT 3
SAINT AUGUSTINE, FL32080
 Phone: 904-461-1081
 Fax: 904-461-1082
 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 ISLAND FAMILY PHARMACY INC

NPI Number 1477666956
LBN Legal business name ISLAND FAMILY PHARMACY INC
Authorized official RYAN BLANCO - (PRESIDENT/ PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2006
Last updated 08/04/2016 - About 10 years ago
Identifiers
FL License # PH20073
FL Medicaid 026812700
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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