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Contact Information

AV 1 PHARMA LLC
164 S US HIGHWAY 17 STE 10
EAST PALATKA, FL32131-4066
 Phone: 904-506-0060
 Fax: 904-515-5795
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AV 1 PHARMA LLC

NPI Number 1912418286
LBN Legal business name AV 1 PHARMA LLC
Authorized official REENA CHADHA - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2017
Last updated 06/22/2023 - About 3 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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