Organization
NEPTUNE BEACH PHARMACY LLC
Active
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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