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Contact Information

ST OF FL DESOTO JUVENILE CORRECTIONAL FACILITY PHARMACY
5871 SE HIGHWAY 31
ARCADIA, FL34266-7679
 Phone: 863-491-5367
 Fax: 863-993-4735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST OF FL DESOTO JUVENILE CORRECTIONAL FACILITY PHARMACY

NPI # 1952510810
LBN Legal business name ST OF FL DESOTO JUVENILE CORRECTIONAL FACILITY PHARMACY
Authorized official STEPHEN RILEY - (SUPERINTENDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/21/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
FL License # PH18403
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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