Organization
ORANGE PARK PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHO NKENGKA (OWNER)
(904) 579-3027
Entity
Organization
Contact information
Practice address
1992 KINGSLEY AVE, ORANGE PARK, FL 32073-4442
(904) 579-3027
(904) 579-4551
Mailing address
1992 KINGSLEY AVE, ORANGE PARK, FL 32073-4442
(904) 579-3027
(904) 579-4551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH26578
FL
Other
Enumeration date
03/29/2013
Last updated
12/09/2024
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