Organization
ALPHA DRUGS
Active
Other names
ALPHA DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
TAJUSEFEN ALIMI (PHARMACY MANAGER)
(813) 610-5158
Entity
Organization
Contact information
Practice address
3723 SOUTHSIDE BLVD, STE 6, JACKSONVILLE, FL 32216-4685
(904) 996-1401
(904) 996-1401
Mailing address
3723 SOUTHSIDE BLVD, STE 6, JACKSONVILLE, FL 32216-4685
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH22400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031830200
—
FL
01
—
1023819
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2006
Last updated
08/04/2008
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