Organization
RXPERT #1 LLC
Active
Other names
RxPert Pharmacy, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K HURLEY (C.O.O.)
(904) 272-1670
Entity
Organization
Contact information
Practice address
2177 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL 32073-5199
(904) 272-1690
(904) 272-1691
Mailing address
2177 KINGSLEY AVE, SUITE 1, ORANGE PARK, FL 32073-5199
(904) 272-1690
(904) 272-1691
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
PH21596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015329
NCPDP
FL
05
—
31132400
—
FL
Enumeration date
10/25/2006
Last updated
08/22/2020
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