Organization
EAST COAST COMPOUNDING & PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAX MCDANIEL PHARMD (OWNER)
(850) 291-0892
Entity
Organization
Contact information
Practice address
1617 ATLANTIC BLVD, JACKSONVILLE, FL 32207-3300
(850) 291-0892
Mailing address
1617 ATLANTIC BLVD, JACKSONVILLE, FL 32207-3300
(850) 291-0892
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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