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Contact Information

CLOVER PHARMACY INC
259-357 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL34952
 Phone: 772-333-2585
 Fax: 772-333-2597
 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 CLOVER PHARMACY INC

NPI # 1548650088
LBN Legal business name CLOVER PHARMACY INC
Authorized official MIGUEL RAVELO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2015
Last updated 02/04/2015 - About 11 years ago
Identifiers
FL License # PH28830
Other 2149942 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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