Organization
ISLAND FAMILY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CHRISTOPHER BLANCO RPH. (PRESIDENT/ PHARMACY MANAGER)
(904) 461-1081
Entity
Organization
Contact information
Practice address
600 PLANTATION ISLAND DR S, UNIT 3, ST AUGUSTINE, FL 32080
(904) 461-1081
(904) 461-1082
Mailing address
600 PLANTATION ISLAND DR S, UNIT 3, ST AUGUSTINE, FL 32080
(904) 461-1081
(904) 461-1082
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH20073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026812700
—
FL
Enumeration date
08/17/2006
Last updated
08/04/2016
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