Organization
NORTH FLORIDA PHARMACY OF CHIEFLAND, INC
Active
Other names
North Florida Pharmacy, Medicine Shoppe 2048
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL ROSENFELD RPH (CO-OWNER)
(386) 758-6770
Entity
Organization
Contact information
Practice address
1100 N YOUNG BLVD, CHIEFLAND, FL 32626-1704
(352) 490-7700
(352) 490-7704
Mailing address
1100 N YOUNG BLVD, CHIEFLAND, FL 32626-1704
(352) 490-7700
(352) 490-7704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH18651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025462200
—
FL
05
—
025462201
—
FL
01
—
2014948
PK
—
Enumeration date
08/10/2006
Last updated
03/20/2017
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