Organization
NORTH FLORIDA PHARMACY OF KEYSTONE HEIGHTS INC
Active
Other names
North Florida Pharmacy, Medicine Shoppe 2051
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES AUTRY RPH (PHARMACY MANAGER)
(352) 478-2057
Entity
Organization
Contact information
Practice address
405 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9222
(352) 478-2057
(352) 478-2059
Mailing address
405 S LAWRENCE BLVD, KEYSTONE HEIGHTS, FL 32656-9222
(352) 478-2057
(352) 478-2059
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031978300
—
FL
05
—
031978301
—
FL
01
—
2008196
PK
—
Enumeration date
12/18/2006
Last updated
10/16/2015
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