Organization
NORTH FLORIDA PHARMACY OF MADISON INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL E ROSENFELD PHARMACIST (OWNER)
(386) 758-6770
Entity
Organization
Contact information
Practice address
139 SW MACON ST, MADISON, FL 32340
(850) 973-8120
Mailing address
139 SW MACON STREET, MADISON, FL 32340-2319
(850) 973-8120
(850) 973-8122
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH22887
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH22887
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032228800
—
FL
05
—
032228801
—
FL
Enumeration date
09/17/2007
Last updated
06/04/2024
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