Organization
SAMARA PHARMACY SERVICES LLC
Active
Other names
MedSmart Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SATISH BADDAM (PHARMACY MANAGER)
(904) 800-1888
Entity
Organization
Contact information
Practice address
7855 ARGYLE FOREST BLVD STE 801, JACKSONVILLE, FL 32244-7706
(904) 800-1888
(904) 619-1129
Mailing address
7855 ARGYLE FOREST BLVD STE 801, JACKSONVILLE, FL 32244-7706
(904) 800-1888
(904) 619-1129
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26364
FL
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007862000
—
FL
01
—
2138460
PK
—
Enumeration date
01/07/2013
Last updated
01/13/2016
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