Organization
SETON PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WHALEN PHD (CEO)
(904) 308-8446
Entity
Organization
Contact information
Practice address
2300 PARK AVENUE, SUITE 100, ORANGE PARK, FL 32073-5572
(904) 215-2780
(904) 278-8641
Mailing address
2300 PARK AVENUE, SUITE 100, ORANGE PARK, FL 32073-5572
(904) 215-2780
(904) 278-8641
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH-0017632
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022450200
—
FL
05
—
22450201
—
FL
Enumeration date
10/02/2006
Last updated
05/12/2009
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