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AMICITIA PHARMA LLC NPI 1386102424


NPI Information

NPI: 1386102424
Provider Name: AMICITIA PHARMA LLC
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
4105 49TH ST N STE B
SAINT PETERSBURG, FL
ZIP 33709
Phone: (727) 954-8877
Get Directions

AMICITIA PHARMA LLC is a long term care pharmacy pharmacy in Saint Petersburg, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. AMICITIA PHARMA LLC NPI is 1386102424. The provider is registered as an organization entity type.

The provider's business location address is:

4105 49TH ST N STE B
SAINT PETERSBURG, FL
ZIP 33709-711
Phone: (727) 954-8877
Fax: (727) 329-8872

The provider's authorized official is Sokha Yim .
The authorized official title is Pharmacy Manager and has the following contact phone number (727) 954-8877.

The enumeration date for this NPI number is 3/7/2019 and was last updated on 3/7/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003884500MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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