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Contact Information

5M PHARMA LLC
6056 VAN DYKE RD
LUTZ, FL33558-8000
 Phone: 813-968-9100
 Fax: 813-968-9200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for 5M PHARMA LLC

NPI Number 1982956702
LBN Legal business name 5M PHARMA LLC
Authorized official VIRAL SHAH - (OWNER/PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2012
Last updated 11/24/2014 - About 12 years ago
Identifiers
FL License # PH26522
FL Medicaid 008444000
Other 2137240 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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