Organization
ATKINSONS MART INC
Active
Other names
ATKINSONS HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ALLEN (PRESIDENT)
(904) 264-7578
Entity
Organization
Contact information
Practice address
100 OLD ORANGE PARK RD, ORANGE PARK, FL 32073-3003
(904) 264-7578
(904) 269-8079
Mailing address
100 OLD ORANGE PARK RD, ORANGE PARK, FL 32073-3003
(904) 264-7578
(904) 269-8079
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH2425
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102195800
—
FL
01
—
2008643
PK
—
Enumeration date
07/19/2005
Last updated
02/22/2017
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