Organization
MUTUAL FAMILY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE HAHN (NCPDP COORDINATOR)
(479) 636-9702
Entity
Organization
Contact information
Practice address
8865 COMMODITY CIR, ORLANDO, FL 32819
(479) 636-9702
(877) 427-2307
Mailing address
PO BOX 1784, BENTONVILLE, AR 72712
(479) 636-9702
(877) 427-2307
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
9235999
FL
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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