Individual
MR. DENNIS MICHEAL SCARBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R PH
Contact information
Practice address
7900 103RD ST, SUITE 14, JACKSONVILLE, FL 32210-6681
(904) 772-8998
(904) 772-1979
Mailing address
7900 103RD ST, SUITE 14, JACKSONVILLE, FL 32210-6681
(904) 772-8998
(904) 772-1979
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH0012202
FL
183500000X
Pharmacist
PS0014929
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069144
NABP
FL
Enumeration date
12/01/2006
Last updated
10/19/2007
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