Provider Demographics
NPI:1609466333
Name:APB & J CORPORATION
Entity Type:Organization
Organization Name:APB & J CORPORATION
Other - Org Name:MEDICINE SHOPPE OF NEW SMYRNA BEACH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:TY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:386-427-3459
Mailing Address - Street 1:1141 N DIXIE FWY
Mailing Address - Street 2:
Mailing Address - City:NEW SMYRNA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32168-6069
Mailing Address - Country:US
Mailing Address - Phone:386-427-3459
Mailing Address - Fax:386-423-2052
Practice Address - Street 1:1141 N DIXIE FWY
Practice Address - Street 2:
Practice Address - City:NEW SMYRNA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32168-6069
Practice Address - Country:US
Practice Address - Phone:386-427-3459
Practice Address - Fax:386-423-2052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015032800Medicaid