# NORTH FLORIDA RECEPTION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTH FLORIDA RECEPTION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083809883
- **Authorized official:** SUSAN MOULDER RPH (PHARMACY MANAGER)
- **Authorized official phone:** (386) 496-6534

## Contact information

- **Practice address:** 7765 S COUNTY ROAD 231, DEPT OF CORRECTIONS, LAKE BUTLER, FL 32054-5721
- **Practice address phone:** (386) 496-6532
- **Practice address fax:** (386) 496-6081
- **Mailing address:** PO BOX 628, LAKE BUTLER, FL 32054-0628
- **Mailing address phone:** (386) 496-6532
- **Mailing address fax:** (386) 496-6081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | PH2387 | FL | Yes |

## Other

- **Enumeration date:** 09/14/2007
- **Last updated:** 03/13/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2005010 | PK | — |