Organization
NORTH FLORIDA PHARMACY OF FORT WHITE INC
Active
Organization
NORTH FLORIDA PHARMACY OF FORT WHITE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN MARSHALL PHARM.D., R.PH. (CO-OWNER, PHARMACY MANAGER)
(352) 871-0819
Entity
Organization
Contact information
Practice address
7729 SW US HIGHWAY 27, FORT WHITE, FL 32038-3508
(386) 497-2580
(386) 497-4227
Mailing address
7729 SOUTHWEST US HIGHWAY 27, FORT WHITE, FL 32038
(386) 497-2580
(386) 497-4227
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH22706
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH22706
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032073100
—
FL
05
—
032073101
—
FL
Enumeration date
06/14/2007
Last updated
08/13/2010
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