Organization
HALIFAX HOSPITAL MEDICAL CENTER
Active
Other names
HALIFAX HOSPITAL MEDICAL CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SHEPHERD (PHARMACY MANAGER)
(386) 254-4197
Entity
Organization
Contact information
Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4197
(386) 947-4613
Mailing address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 254-4198
(386) 323-2365
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH8086
FL
3336I0012X
Institutional Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009662
PK
—
Enumeration date
08/02/2006
Last updated
09/14/2016
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