Organization
DEPARTMENT OF HEALTH CENTRAL PHARMACY
Active
Other names
DEPARTMENT OF HEALTH CENTRAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JASPER WATKINS RPH (CHIEF)
(850) 922-9036
Entity
Organization
Contact information
Practice address
104-2 HAMILTON PARK DR., TALLAHASSEE, FL 32304
(850) 922-9036
(850) 922-3608
Mailing address
104-2 HAMILTON PARK DR., TALLAHASSEE, FL 32304
(850) 922-9036
(850) 922-3608
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PH23821
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033454
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
109974400
—
FL
05
—
109974490
—
FL
Enumeration date
07/30/2006
Last updated
03/11/2011
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