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Organization

CANCER SPECIALISTS, LLC

Active
Other names
Florida Specialty Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT J PHELAN RPH (CEO)
(904) 519-2720
Entity
Organization

Contact information

Practice address
7015 A C SKINNER PARKWAY, SUITE 2, JACKSONVILLE, FL 32256
(904) 519-2720
(904) 519-2721
Mailing address
7015 AC SKINNER PARKWAY, SUITE 2, JACKSONVILLE, FL 32256
(904) 519-2720
(904) 519-2721

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH26314
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006684800
FL
Enumeration date
07/09/2012
Last updated
07/06/2021
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