Organization
SETON PHARMACY INC
Active
Other names
Seton Pharmacy Northside
Organization subpart
No
Provider details
NPI number
Authorized official
CHARZETTA JAMES (PHARMACY DIRECTOR,AO)
(904) 450-8787
Entity
Organization
Contact information
Practice address
1760 EDGEWOOD AVE W STE C, JACKSONVILLE, FL 32208-7209
(904) 450-8787
(904) 924-1145
Mailing address
1760 EDGEWOOD AVE W, SUITE C, JACKSONVILLE, FL 32208-7209
(904) 450-8787
(904) 924-1145
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH28043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013794500
—
FL
01
—
2148118
PK
—
Enumeration date
04/28/2014
Last updated
07/07/2015
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