Individual
BENJAMIN DEYOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(904) 542-9412
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS63300
FL
Other
Enumeration date
05/19/2022
Last updated
11/18/2025
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