Organization
JYA, LLC
Active
Other names
WEBB'S SQUARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAHAYA FIDELIS ABUH PHD, RPH (PHARMACY MANAGER/OWNER)
(863) 330-0681
Entity
Organization
Contact information
Practice address
2200 SOUTH BLVD W, DAVENPORT, FL 33837-7002
(863) 421-9200
(863) 421-9220
Mailing address
2200 SOUTH BLVD W, DAVENPORT, FL 33837-7002
(863) 421-9200
(863) 421-9220
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24823
FL
Other
Enumeration date
09/13/2010
Last updated
10/10/2024
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