Winn Dixie Stores Inc in Palm Bay - Community/retail Pharmacy

Winn Dixie Stores Inc - NPI 1154342459

Winn Dixie Stores Inc is a Community/retail Pharmacy in Palm Bay, 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 1154342459. The last update date is 2016-09-23.

Winn Dixie Stores Inc's current location address is 190 Malabar Rd Sw, Palm Bay, Florida. You can contact this provider via phone number 3219842575 and fax number 3219845171. The mailing address for Winn Dixie Stores Inc is 190 Malabar Rd Sw, Palm Bay, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Winn Dixie Stores Inc
Address 190 Malabar Rd Sw, Palm Bay, Florida
Phone Number 3219842575
Fax Number 3219845171
Sole Proprietor --
Credentials --

Authorized Official

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

NPI Number Detail

NPI Number 1154342459
Provider Enumeration Date 2006-07-21
Last Updated Date 2016-09-23

Provider Mailing Address Detail

Address 190 Malabar Rd Sw
City Palm Bay
State Florida (FL)
Post Code 329072937
Phone Number 3219842575
Fax Number 3219845171

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No PH12655
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
1071707 OTHER ID NUMBER
102696801 FL --
102696800 FL --

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FAQs about Winn Dixie Stores Inc

What is the unique 10-digit identification code assigned to Winn Dixie Stores Inc by the Centers for Medicare & Medicaid Services?

The Winn Dixie Stores Inc has been issued the NPI (National Provider Identifier) 1154342459, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Winn Dixie Stores Inc is located?

The Winn Dixie Stores Inc is situated at the following address: 190 Malabar Rd Sw, Palm Bay, FL, 329072937.

What is the Winn Dixie Stores Inc's specialty and taxonomy code?

The Winn Dixie Stores Inc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.

When did Winn Dixie Stores Inc receive its 1154342459 assignment?

The Winn Dixie Stores Inc was assigned its 1154342459 on 2006-07-21, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Winn Dixie Stores Inc most recently updated or revised?

The information pertaining to Winn Dixie Stores Inc, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-23.

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