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Contact Information

OLD TOWN PHARMACY INC
26064 US- 19
OLD TOWN, FL32680
 Phone: 386-758-6770
 Fax:
 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 OLD TOWN PHARMACY INC

NPI Number 1770050965
LBN Legal business name OLD TOWN PHARMACY INC
Authorized official TERRY HODGKINSON - (BOOKKEEPER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2018
Last updated 10/21/2019 - About 7 years ago
Identifiers n/a
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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