Organization
PARK & KING PHARMACY INC
Active
Other names
PARK AND KING PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CARTER BSRRT (OWNER)
(904) 389-6602
Entity
Organization
Contact information
Practice address
4163 OXFORD AVE, JACKSONVILLE, FL 32210-4425
(904) 389-6602
(904) 389-7062
Mailing address
4163 OXFORD AVE, JACKSONVILLE, FL 32210-4425
(904) 389-6602
(904) 389-7062
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH9341
FL
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101775600
—
FL
01
—
2007375
PK
—
Enumeration date
09/21/2006
Last updated
02/02/2015
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