Organization
CONSOLIDATED PHARMACY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE ROMINE (SYSTEM COO)
(904) 308-1290
Entity
Organization
Contact information
Practice address
2651 PARK STREET, JACKSONVILLE, FL 32204-4519
(904) 387-2448
(904) 387-0153
Mailing address
2651 PARK STREET, JACKSONVILLE, FL 32204-4519
(904) 387-2448
(904) 387-0153
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
PH-0009430
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022452900
—
FL
01
—
PH-0009430
STATE LICENSE
FL
Enumeration date
10/04/2006
Last updated
03/08/2015
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