Organization
ATKINSONS MART INC
Active
Organization
ATKINSONS MART INC
Active
Other names
ATKINSON'S HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY WEBSTER DAVIS (PHARMACY DIRECTOR)
(904) 298-0873
Entity
Organization
Contact information
Practice address
1994 KINGSLEY AVE, ORANGE PARK, FL 32073-4442
(904) 298-0873
Mailing address
1994 KINGSLEY AVE STE A, ORANGE PARK, FL 32073-4465
(904) 298-0873
(904) 272-9680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH17156
FL
3336C0004X
Compounding Pharmacy
PH28421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101585100
—
FL
Enumeration date
12/01/2006
Last updated
07/30/2026
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