Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ALICE ANDERSON PHARMD (PHARMACIST)
(904) 412-6410
Entity
Organization
Contact information
Practice address
13740 BEACH BLVD, JACKSONVILLE, FL 32224-6033
(904) 248-4364
Mailing address
13740 BEACH BLVD, JACKSONVILLE, FL 32224-6033
(904) 248-4364
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PS54875
FL
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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