Organization
GUARDIAN PHARMACY OF JACKSONVILLE
Active
Other names
GUARDIAN PHARMACY OF JACKSONVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
KHRISTY MCCLELLAND RPH (PRESIDENT)
(904) 296-0016
Entity
Organization
Contact information
Practice address
8001 BELFORT PKWY STE 160, JACKSONVILLE, FL 32256-6966
(904) 296-0016
(904) 296-0604
Mailing address
GUARDIAN PHARMACY OF JACKSONVILLE DEPT 2346, P.O. BOX 11407, BIRMINGHAM, AL 35246-0001
(904) 296-0016
(904) 296-0604
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH21100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028396700
—
FL
01
—
2004261
PK
—
Enumeration date
07/05/2006
Last updated
08/24/2016
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