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FAMILY DRUGS OF INDIANTOWN LLC NPI 1689686651


NPI Information

NPI: 1689686651
Provider Name: FAMILY DRUGS OF INDIANTOWN LLC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 10D2192609

Address:
15690 SW WARFIELD BLVD
INDIANTOWN, FL
ZIP 34956
Phone: (772) 597-2250
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FAMILY DRUGS OF INDIANTOWN LLC is a community/retail pharmacy pharmacy in Indiantown, FL. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FAMILY DRUGS OF INDIANTOWN LLC NPI is 1689686651. The provider is registered as an organization entity type.

The provider's business location address is:

15690 SW WARFIELD BLVD
INDIANTOWN, FL
ZIP 34956-509
Phone: (772) 597-2250
Fax: (772) 597-2279

The provider's authorized official is Brian Boyd Rucks .
The authorized official title is Owner/pharmacist and has the following contact phone number (772) 597-2250.

The CLIA number assigned to this NPI record is 10D2192609 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 9/20/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPH13867FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1103465100MEDICAIDFLORIDA
2103465101MEDICAIDFLORIDA
31077519OTHERNCPDP #

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: 5/5/2024

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