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Contact Information

AMICITIA PHARMA LLC
4105 49TH ST N STE B
SAINT PETERSBURG, FL33709-5711
 Phone: 727-954-8877
 Fax: 727-329-8872
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for AMICITIA PHARMA LLC

NPI Number 1386102424
LBN Legal business name AMICITIA PHARMA LLC
Authorized official SOKHA YIM - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2019
Last updated 03/07/2019 - About 7 years ago
Identifiers
FL Medicaid 003884500
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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