Organization
L A D S CO. OF NORTH FLORIDA
Active
Other names
Norris Medical Compounding Lab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES LEE NORRIS (VICE PRESIDENT)
(850) 973-2222
Entity
Organization
Contact information
Practice address
140 SW RANGE AVE, MADISON, FL 32340-2457
(850) 973-2222
Mailing address
PO BOX 509, MADISON, FL 32341-0509
(850) 973-2222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH12077
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1068166
NCPDP
FL
Enumeration date
03/22/2007
Last updated
08/22/2020
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