Organization
SPRX2 INC
Active
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
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