Organization
THE MEDIMIX, LLC
Active
Organization
THE MEDIMIX, LLC
Active
Other names
Medimix Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JERON STOKES (MGR)
(904) 567-6334
Entity
Organization
Contact information
Practice address
6820 SOUTHPOINT PKWY, SUITE 9, JACKSONVILLE, FL 32216-6276
(904) 567-6334
(866) 745-6334
Mailing address
6820 SOUTHPOINT PKWY, SUITE 9, JACKSONVILLE, FL 32216-6276
(904) 567-6334
(866) 745-6334
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH25863
FL
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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