Organization
MAYO CLINIC JACKSONVILLE
Active
Organization
MAYO CLINIC JACKSONVILLE
Active
Other names
Mayo Clinic Jacksonville Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE RIGDON (CHIEF FINANCIAL OFFICER)
(904) 953-0577
Entity
Organization
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-7355
(904) 953-1768
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-7355
(904) 953-1768
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009241600
—
FL
01
—
PH14369
LICENSE NUMBER
FL
Enumeration date
10/13/2005
Last updated
04/15/2026
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