Organization
QUALITY SPECIALTY PHARMACY OF JACKSONVILLE INC
Active
Other names
Quality Specialty Pharmacy of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA AXEN (OWNER)
(718) 648-2952
Entity
Organization
Contact information
Practice address
6680 POWERS AVE, UNIT 110, JACKSONVILLE, FL 32217-2889
(904) 365-5500
(904) 365-5501
Mailing address
P.O. BOX 16159, TEMPLE TERRACE, FL 33682
(904) 365-5500
(904) 365-5501
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25472
FL
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004444200
—
FL
01
—
2131100
PK
—
Enumeration date
08/08/2011
Last updated
10/26/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us