# HALLIDAY'S DRUGS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Halliday's & Koivisto's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659408516
- **Authorized official:** CAROLYN S BASS (MANGER)
- **Authorized official phone:** (904) 737-2216

## Contact information

- **Practice address:** 4133 UNIVERSITY BLVD S \# 1, JACKSONVILLE, FL 32216-4316
- **Practice address phone:** (904) 737-2216
- **Practice address fax:** (904) 737-2218
- **Mailing address:** 4133 UNIVERSITY BLVD S \# 1, JACKSONVILLE, FL 32216-4316
- **Mailing address phone:** (904) 737-2216
- **Mailing address fax:** (904) 737-2218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 08/17/2011