Organization
BLUEBIRD SPECIALTY PHARMACY LLC
Active
Other names
VITAL CARE OF JACKSONVILLE
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA MOYER PHARM.D. (MANAGER)
(704) 804-3600
Entity
Organization
Contact information
Practice address
8110 CYPRESS PLAZA DR STE 301, JACKSONVILLE, FL 32256-4468
(704) 804-3600
Mailing address
9158 STARPASS DR, JACKSONVILLE, FL 32256-5474
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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