Organization
SIMPLYWELL SPECIALTY PHARMACY LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON CLAYTON PHARMD (OWNER/PIC)
(904) 468-3020
Entity
Organization
Contact information
Practice address
463128 STATE ROAD 200, YULEE, FL 32097-5554
(904) 468-8886
Mailing address
463128 STATE ROAD 200, YULEE, FL 32097-5554
(904) 468-3020
(904) 849-1627
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
31635
FL
Other
Enumeration date
08/24/2018
Last updated
03/19/2022
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