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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