Organization
ORANGE PARK PHARMACY INC
Active
Other names
Orange Park Pharmacy LTC
Organization subpart
No
Provider details
NPI number
Authorized official
ABDALLA MOHAMED PHARMD (PHARMACY MANAGER/OWNER)
(904) 579-3027
Entity
Organization
Contact information
Practice address
1992 KINGSLEY AVE, SUITE B, ORANGE PARK, FL 32073-4442
(904) 579-3027
(904) 579-4551
Mailing address
1992 KINGSLEY AVE, SUITE B, ORANGE PARK, FL 32073-4442
(904) 579-3027
(904) 579-4551
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PH30423
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023871800
—
FL
01
—
2166209
PK
—
Enumeration date
11/02/2016
Last updated
07/19/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up