Organization
SCOTTPHARM ENTERPRISES LLC
Active
Other names
St Johns Community Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SCOTT PHARMD (DIRECTOR)
(904) 484-7775
Entity
Organization
Contact information
Practice address
2720 US 1 S STE A, SAINT AUGUSTINE, FL 32086-6371
(904) 484-7775
Mailing address
2720 US 1 S STE A, SAINT AUGUSTINE, FL 32086-6371
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
01/26/2022
Last updated
10/12/2024
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