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Contact Information

BUTTERFIELD PHARMACY & MEDICAL SUPPLY AT SLW LLC
1707 NW SAINT LUCIE WEST BLVD
SUITE 166
PORT SAINT LUCIE, FL34986
 Phone: 772-323-2090
 Fax: 772-323-2091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BUTTERFIELD PHARMACY & MEDICAL SUPPLY AT SLW LLC

NPI Number 1720277726
LBN Legal business name BUTTERFIELD PHARMACY & MEDICAL SUPPLY AT SLW LLC
Authorized official DAVID WRIGHT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2007
Last updated 07/20/2018 - About 8 years ago
Identifiers
FL License # PH22976
FL Medicaid 032241500
Other 2010018 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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