Organization
UNIVERSITY PHARMACY OF JACKSONVILLE, INC
Active
Organization
UNIVERSITY PHARMACY OF JACKSONVILLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED TAHER IBRAHIM (OWNER)
(904) 535-8792
Entity
Organization
Contact information
Practice address
3901 UNIVERSITY BLVD S STE 237, JACKSONVILLE, FL 32216-4390
(904) 535-8792
Mailing address
3901 UNIVERSITY BLVD S STE 237, JACKSONVILLE, FL 32216-4390
(904) 802-7177
(904) 802-7096
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH32128
COMMUNITY RETAIL
FL
Enumeration date
05/29/2019
Last updated
01/15/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up