Winn Dixie Stores Inc in Starke - Community/retail Pharmacy

Winn Dixie Stores Inc - NPI 1215958517

Winn Dixie Stores Inc is a Community/retail Pharmacy in Starke, Florida. Winn Dixie Stores Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Winn Dixie Stores Inc is 1215958517. The last update date is 2016-06-24.

Winn Dixie Stores Inc's current location address is 470 W Madison St, Starke, Florida. You can contact this provider via phone number 9049646757 and fax number 9049646759. The mailing address for Winn Dixie Stores Inc is 470 W Madison St, Starke, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Winn Dixie Stores Inc
Address 470 W Madison St, Starke, Florida
Phone Number 9049646757
Fax Number 9049646759
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VICE PRESI
Authorized Official Name Grimm M. Sandlin
Telephone Number 9047835578

NPI Number Detail

NPI Number 1215958517
Provider Enumeration Date 2006-07-21
Last Updated Date 2016-06-24

Provider Mailing Address Detail

Address 470 W Madison St
City Starke
State Florida (FL)
Post Code 320913926
Phone Number 9049646757
Fax Number 9049646759

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No PH9891
Definition:
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 pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
109696600 FL --
109696601 FL --
1058886 OTHER ID NUMBER

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FAQs about Winn Dixie Stores Inc

What is the Winn Dixie Stores Inc's unique identification number?

The Winn Dixie Stores Inc has been assigned the NPI (National Provider Identifier) Number 1215958517 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Winn Dixie Stores Inc's facilities are situated?

The facilities of Winn Dixie Stores Inc are physically located at the following address: 470 W Madison St, Starke, FL, 320913926.

What is the area of specialization for Winn Dixie Stores Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Winn Dixie Stores Inc is Community/retail Pharmacy, and the corresponding taxonomy code that categorizes this area of expertise is 3336C0003X.

On what date was the 1215958517 assigned to Winn Dixie Stores Inc?

The Winn Dixie Stores Inc was issued its 1215958517 on 2006-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Winn Dixie Stores Inc's information last updated?

The Winn Dixie Stores Inc's information was last updated on 2016-06-24.

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