Organization
FZAIPAN INC
Active
Other names
ADVANCED RX & COMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB GAVRONSKY (PHRM DIR)
(904) 448-8181
Entity
Organization
Contact information
Practice address
6951 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32217-2819
(904) 448-8181
(904) 448-6662
Mailing address
6951 SAINT AUGUSTINE RD, JACKSONVILLE, FL 32217-2819
(904) 448-8181
(904) 448-6662
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PH18462
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014530
PK
—
Enumeration date
03/27/2007
Last updated
02/20/2017
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