Organization
GUARDIAN PHARMACY OF JACKSONVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHRISTY MCCLELLAND RPH (PRESIDENT)
(904) 345-4301
Entity
Organization
Contact information
Practice address
8000 BELFORT PKWY, SUITE 200, JACKSONVILLE, FL 32256-6934
(904) 345-4301
(904) 296-0604
Mailing address
8000 BELFORT PKWY, SUITE 200, JACKSONVILLE, FL 32256-6934
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PS31724
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS31724
REGISTERED PHARMACIST LICENSE
FL
Enumeration date
03/28/2014
Last updated
03/28/2014
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