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Contact Information

EXP PHARMACY SVC OF FL LLC
8275 BRYAN DAIRY RD
LARGO, FL33777-1324
 Phone: 800-589-7255
 Fax: 727-395-7892
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mail Order Pharmacy

3336M0002X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for EXP PHARMACY SVC OF FL LLC

NPI # 1316958952
LBN Legal business name EXP PHARMACY SVC OF FL LLC
Authorized official SAMUEL MEDURE - (GM)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 04/23/2010 - About 16 years ago
Identifiers
FL License # PH20840
FL Medicaid 106251400
Other 1075058 NCPDP PROVIDER IDENTIFICATION NUMBER
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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