Organization · Type 2 NPI

Florida Department of Children and Families

Long Term Care Pharmacy · Chattahoochee, FL

NPI number 1760418933 Active

Practice location

100 N Main St Bldg 1235
Chattahoochee, FL 32324-1107

Call (850) 663-7675 Map

Fax (850) 663-7385

Mailing address

PO Box 1000
Chattahoochee, FL 32324-1000

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed
Institutional Pharmacy	3336I0012X	PH6234 (FL)
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: 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.

NPI record

NPI: 1760418933
Entity type: Organization (Type 2)
Issued: Jun 22, 2006
Last updated: Jul 30, 2019
Status: Active

Other names

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Florida State Hospital · doing business as
Florida State Hospital · doing business as

Authorized official

Tonja McElvin, PharmD
Director of Pharmacy
(850) 663-7675

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1760418933

Florida Department of Children and Families's National Provider Identifier is 1760418933, issued on Jun 22, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Chattahoochee, FL. The record was last updated on Jul 30, 2019.