Organization
EASTSIDE PHARMACY
Active
Organization
EASTSIDE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY MCCALL (MANAGER)
(850) 545-1184
Entity
Organization
Contact information
Practice address
818 A PHILIP RANDOLPH BLVD, JACKSONVILLE, FL 32206-5776
(904) 353-8500
(425) 969-2376
Mailing address
818 A PHILIP RANDOLPH BLVD, JACKSONVILLE, FL 32206-5776
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH21752
FL
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016698
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/18/2006
Last updated
09/11/2025
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