Organization
TOWN AND COUNTRY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL DORBU (PHARMACIST)
(904) 744-0101
Entity
Organization
Contact information
Practice address
997 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-5529
(904) 744-0104
(904) 744-0109
Mailing address
939 UNIVERSITY BLVD N, JACKSONVILLE, FL 32211-5529
(904) 744-0104
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003788300
—
FL
Enumeration date
06/09/2011
Last updated
05/06/2025
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