Organization
KINGSLEY RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE DEFALCO PHARMACIST (OWNER/PHARMACIST)
(904) 409-1337
Entity
Organization
Contact information
Practice address
1542 KINGSLEY AVE STE 142, ORANGE PARK, FL 32073-4547
(904) 409-1337
(904) 375-1362
Mailing address
1542 KINGSLEY AVE STE 142, ORANGE PARK, FL 32073-4547
(904) 409-1337
(904) 375-1362
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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