Organization
NORTH FLORIDA PHARMACY, INC.
Active
Other names
NORTH FLORIDA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL E. ROSENFELD RPH (CO-OWNER/VP/PHARMACIST)
(386) 758-6770
Entity
Organization
Contact information
Practice address
347 SW MAIN BLVD, SUITE 102, LAKE CITY, FL 32025-5262
(386) 758-6770
(386) 758-9413
Mailing address
347 SW MAIN BLVD, SUITE 102, LAKE CITY, FL 32025-5262
(386) 758-6770
(386) 758-9413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PH12595
FL
3336C0003X
Community/Retail Pharmacy
Primary
PH12595
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102637200
—
FL
05
—
102637201
—
FL
Enumeration date
08/08/2006
Last updated
11/03/2020
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