Organization
ATKINSON'S MART INC
Active
Other names
Atkinson's Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY WEBSTER DAVIS (PHARMACY DIRECTOR)
(904) 298-0873
Entity
Organization
Contact information
Practice address
1994A KINGSLEY AVE, ORANGE PARK, FL 32073-4442
(904) 298-0873
(904) 272-9680
Mailing address
1994 KINGSLEY AVE STE A, ORANGE PARK, FL 32073-4465
(904) 298-0873
(904) 272-9680
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH17156
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH17156
PHARMACY LICENSE
FL
Enumeration date
06/22/2007
Last updated
07/30/2026
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