Organization
SOUTHPOINT PHARMACY SVCS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE BORBA NASSIROU RPH (PRESIDENT)
(904) 894-9565
Entity
Organization
Contact information
Practice address
6817 SOUTHPOINT PKWY, STE 1702, JACKSONVILLE, FL 32216-6282
(904) 296-9145
(904) 296-9146
Mailing address
6817 SOUTHPOINT PKWY, STE 1702, JACKSONVILLE, FL 32216-6282
(904) 296-9145
(904) 296-9147
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22399
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023706
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/13/2006
Last updated
06/26/2008
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