Organization
M&J PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK RAYMOND MIKLOS (CEO)
(727) 548-7995
Entity
Organization
Contact information
Practice address
5100 78TH AVE, SUITE 6, PINELLAS PARK, FL 33781-2407
(727) 548-7995
(727) 548-7985
Mailing address
5100 78TH AVE, SUITE 6, PINELLAS PARK, FL 33781-2407
(727) 548-7995
(727) 548-7985
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
32 4117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32 4117
BOARD OF PHARMACY - O2
FL
Enumeration date
02/19/2008
Last updated
02/19/2008
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