Organization
NORTH BEACHES PHARMACY INC
Active
Other names
NORTH BEACHES PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY WOOD (OWNER,PRES,AO)
(904) 241-5171
Entity
Organization
Contact information
Practice address
730 BEACH BLVD STE 104, JACKSONVILLE, FL 32250
(904) 241-5171
(904) 241-0437
Mailing address
730 BEACH BLVD STE 104, JACKSONVILLE, FL 32250-5352
(904) 241-5171
(904) 241-0437
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
PH7967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006425
PK
—
Enumeration date
12/13/2006
Last updated
06/20/2018
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