Organization
SPRING PARK PHARMACY LLC
Active
Other names
Spring Park Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STACY CHAO (PHARMACIST IN CHARGE)
(904) 551-5094
Entity
Organization
Contact information
Practice address
3851 EMERSON ST STE 13, JACKSONVILLE, FL 32207
(904) 551-5094
(904) 527-1244
Mailing address
4446 HENDRICKS AVE STE 408, JACKSONVILLE, FL 32207-6369
(904) 551-5094
(904) 527-1244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
333600000X
Pharmacy
Primary
PH31080
FL
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175032
PK
—
Enumeration date
12/12/2017
Last updated
07/16/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us