Organization
DENNIS SCARBROUGH
Active
Organization
DENNIS SCARBROUGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS MICHAEL SCARBROUGH R.PH (OWNER)
(904) 772-8998
Entity
Organization
Contact information
Practice address
7900 103RD ST, SUITE 14, JACKSONVILLE, FL 32210-6681
(904) 772-8998
(904) 772-1979
Mailing address
7900 103RD ST, SUITE 14, JACKSONVILLE, FL 32210-6681
(904) 772-8998
(904) 772-1979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH0012202
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH0012202
FL
Other
Enumeration date
02/28/2008
Last updated
06/13/2008
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