Organization · Type 2 NPI
Med 1st LLC
Managed Care Organization Pharmacy · Odessa, FL
NPI number
1174645477
Active
Practice location
11206 Challenger Ave, Unit D
Odessa, FL 33556-3482
Fax (727) 375-9870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Managed Care Organization Pharmacy Primary | 3336M0003X | PH22474 (FL) |
Managed Care Organization Pharmacy: A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
About NPI 1174645477
Med 1st LLC's National Provider Identifier is 1174645477, issued on Apr 6, 2007. The primary taxonomy on file is Managed Care Organization Pharmacy (3336M0003X), and the practice location is in Odessa, FL. The record was last updated on Aug 31, 2009.