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Contact Information

IMMOKALEE PHARMACY LLC
1201 PIPER BLVD
UNIT 12
NAPLES, FL34110
 Phone: 239-658-6123
 Fax: 239-658-6127
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for IMMOKALEE PHARMACY LLC

NPI Number 1013237668
LBN Legal business name IMMOKALEE PHARMACY LLC
Authorized official HARKIKKUMAR PATEL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2010
Last updated 07/27/2022 - About 4 years ago
Identifiers
FL License # 30304
FL Medicaid 018774100
Other 2162462 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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