Organization
CAN COMMUNITY HEALTH INC.
Active
Other names
CAN Community Health Pharmacy of Jacksonville
Organization subpart
No
Provider details
NPI number
Authorized official
HANSIL KALARIA (CHIEF PHARMACY OFFICER)
(813) 871-5161
Entity
Organization
Contact information
Practice address
4615 PHILIPS HWY, SUITE 3, JACKSONVILLE, FL 32207-9506
(844) 370-6204
(904) 647-3419
Mailing address
2105 N NEBRASKA AVE, TAMPA, FL 33602-2558
(813) 871-5161
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH31165
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102229300
—
FL
01
—
2170568
PK
—
Enumeration date
03/13/2017
Last updated
01/30/2024
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