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Contact Information

MANGO PHARMACY LLC
11509 DR MARTIN LUTHER KING JR BLVD
MANGO, FL33550
 Phone: 813-661-2263
 Fax: 813-662-2263
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Diabetes Educator

163WD0400X
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MANGO PHARMACY LLC

NPI # 1669785168
LBN Legal business name MANGO PHARMACY LLC
Authorized official ALPESH PATEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/26/2010
Last updated 07/09/2021 - About 5 years ago
Identifiers
FL License # PH29956
FL Medicaid 017041900
Other 2158271 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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