Organization
OMNI CARE PHARMACY LLC
Active
Other names
Omni Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PATRICK NIMO (PHARMACIST IN CHARGE)
(904) 423-0123
Entity
Organization
Contact information
Practice address
4432 HENDRICKS AVE, JACKSONVILLE, FL 32207-6326
(904) 423-0123
(904) 379-6446
Mailing address
4432 HENDRICKS AVE, JACKSONVILLE, FL 32207-6326
(904) 423-0123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH30259
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166675
PK
—
Enumeration date
11/15/2016
Last updated
05/29/2024
Update your record
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