Organization
NEPTUNE BEACH PHARMACY LLC
Active
Other names
NEPTUNE BEACH PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
EDET U SAMPSON R.P.H (OWNER)
(904) 685-4919
Entity
Organization
Contact information
Practice address
1529 ATLANTIC BLVD, NEPTUNE BEACH, FL 32266
(904) 685-4919
(904) 685-2390
Mailing address
1529 ATLANTIC BLVD, NEPTUNE BEACH, FL 32266
(904) 422-4485
(904) 685-2390
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111
—
FL
Enumeration date
06/20/2012
Last updated
01/17/2013
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