Organization
BAKER COUNTY MEDICAL SERVICES, INC
Active
Organization
BAKER COUNTY MEDICAL SERVICES, INC
Active
Parent organization
BAKER COUNTY MEDICAL SERVICES INC
Other names
Ed Fraser Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAKER COUNTY MEDICAL SERVICES INC
Authorized official
TIFFANY VARNADOE (CEO)
(706) 437-2683
Entity
Organization
Contact information
Practice address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
(904) 653-4669
Mailing address
159 N 3RD ST, MACCLENNY, FL 32063-2103
(904) 259-3151
(904) 653-4669
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
02/02/2022
Last updated
06/25/2024
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