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Contact Information

VILLA PHARMACY LLC
105 AVENUE R NW
WINTER HAVEN, FL33881
 Phone: 813-215-9855
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for VILLA PHARMACY LLC

NPI Number 1720415599
LBN Legal business name VILLA PHARMACY LLC
Authorized official DWAYNE JONES - (OWNER/MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2013
Last updated 06/23/2016 - About 10 years ago
Identifiers
FL License # PH27110
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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