Organization
OMEGA PAIN CARE DISPENSARY
Active
Parent organization
PHYSICIAN'S CHOICE DISPENSING SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSICIAN'S CHOICE DISPENSING SERVICES
Authorized official
MS. CICELY D EASON (EXECUTIVE ADMINISTRATOR)
(561) 789-4911
Entity
Organization
Contact information
Practice address
3101 UNIVERSITY BLVD S, SUITE #203, JACKSONVILLE, FL 32216-2790
(813) 231-6351
Mailing address
PO BOX 4688, FORT LAUDERDALE, FL 33338-4688
(954) 376-7313
(954) 697-0153
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
OS8811
FL
Other
Enumeration date
01/17/2008
Last updated
05/07/2008
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