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Organization

SPRX2 INC

Active
Other names
SPRX2
Organization subpart
No

Provider details

NPI number
Authorized official
KERRI MCADOO (DIRECTOR OF PHARMACY)
(904) 503-5030
Entity
Organization

Contact information

Practice address
1201 MONUMENT RD STE 100, JACKSONVILLE, FL 32225-6445
(904) 503-5030
(904) 361-3866
Mailing address
3740 SAINT JOHNS BLUFF RD S, SUITE 19, JACKSONVILLE, FL 32224-2651
(904) 503-5030
(904) 361-3866

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
30277
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2162477
PK
Enumeration date
07/29/2016
Last updated
09/19/2016
About Stedi
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Product
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  • Eligibility checks
  • EDI platform