Organization
HALLIDAY'S DRUGS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN BASS (MANAGER)
(904) 737-2216
Entity
Organization
Contact information
Practice address
4133 UNIVERSITY BLVD S # 1, JACKSONVILLE, FL 32216-4316
(904) 737-2216
(904) 737-2218
Mailing address
4133 UNIVERSITY BLVD S # 1, JACKSONVILLE, FL 32216-4316
(904) 737-2216
(904) 737-2218
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PH528
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH528
PHARMACY LICENSE
FL
Enumeration date
02/27/2007
Last updated
08/22/2020
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