Organization
GOVERDHAN LLC
Active
Other names
Jackson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DIPA SHAH (MANAGER)
(904) 329-2251
Entity
Organization
Contact information
Practice address
4347-3 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216
(904) 329-2251
(904) 329-2384
Mailing address
4347-3 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216
(904) 329-2251
(904) 329-2384
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28265
FL
Other
Enumeration date
07/18/2014
Last updated
09/09/2015
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