Organization
CARTERS ORTEGA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY CARTER (OWNER)
(904) 389-4355
Entity
Organization
Contact information
Practice address
2923 CORINTHIAN AVE, JACKSONVILLE, FL 32210-4401
(904) 389-5558
Mailing address
2923 CORINTHIAN AVE, JACKSONVILLE, FL 32210-4401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS6642
FL
Other
Enumeration date
09/21/2006
Last updated
08/22/2020
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