Florida Department of Children and Families

Organization Active NPI Long Term Care Pharmacy · Chattahoochee, FL

NPI 1760418933 · NPPES record last updated Jul 30, 2019

Key facts

NPI
1760418933
Entity type
Organization (NPI type 2)
Primary specialty
Long Term Care Pharmacy 3336L0003X
Legal business name
FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES
Practice address
100 N Main St BLDG 1235
Chattahoochee, FL 32324-1107
Phone
(850) 663-7675
Fax
(850) 663-7385
NPI assigned
Jun 22, 2006
Organization subpart
No

Authorized official

Name
Tonja McElvin, PHARMD
Title
Director of Pharmacy
Phone
(850) 663-7675

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
FL Department of Childr (9 organizations share this tax ID)

Locations

100 N Main St
Bldg 1235
Chattahoochee, FL 32324
Phone (850) 663-7675

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Institutional Pharmacy 3336I0012X PH6234 FL
Long Term Care Pharmacy 3336L0003X Yes

Addresses

Primary practice location

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

Mailing address

PO Box 1000
Chattahoochee, FL 32324-1000
Phone (850) 663-7675

Other identifiers

IdentifierTypeStateIssuer
014463700MedicaidFL
2005839OtherPK

Other names

  • FLORIDA STATE HOSPITAL Doing business as

Other providers in Chattahoochee, FL

All providers in Chattahoochee, FL · Long Term Care Pharmacy in Florida

Sources for this page

Verify at the official NPI Registry.