Organization
VERNON DISCOUNT DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK GARY PAUL I (OWNER PHARMACIST)
(850) 535-2803
Entity
Organization
Contact information
Practice address
3248 MAIN ST, VERNON, FL 32462-2223
(850) 535-2803
(850) 535-2803
Mailing address
PO BOX 505, VERNON, FL 32462-0505
(850) 535-2803
(850) 535-0150
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH11020
FL
Other
Enumeration date
12/13/2005
Last updated
08/22/2020
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