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Organization

NORTH FLORIDA PHARMACY, INC.

Active
Other names
North Florida Pharmacy, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
JOEL ROSENFELD (OWNER)
(386) 758-9300
Entity
Organization

Contact information

Practice address
3718 W US HIGHWAY 90, LAKE CITY, FL 32055-4897
(386) 755-9300
(386) 755-9371
Mailing address
3718 W US HIGHWAY 90, LAKE CITY, FL 32055-4897
(386) 755-9300
(386) 755-9371

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH15487
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH15487
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106155100
FL
01
106155101
MEDICAID DME
FL
01
1081025
OTHER ID NUMBER
Enumeration date
08/07/2006
Last updated
11/03/2020
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