Organization
NEPTUNE BEACH PHARMACY LLC
Active
Other names
Neptune Beach Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EDET SAMPSON (PHARMACIST OWNER)
(904) 619-3450
Entity
Organization
Contact information
Practice address
1529 ATLANTIC BLVD, NEPTUNE BEACH, FL 32266-1717
(904) 685-4919
(904) 685-2390
Mailing address
1529 ATLANTIC BLVD, NEPTUNE BEACH, FL 32266-1717
(904) 685-4919
(904) 685-2390
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH26227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5710911
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/19/2012
Last updated
11/14/2012
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