Organization
RXPERT 1 LLC
Active
Other names
RXPERT #1 PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JANET SAWICKI RPH (PHARMACY MANAGER)
(904) 272-1690
Entity
Organization
Contact information
Practice address
2177 KINGSLEY AVE, ORANGE PARK, FL 32073-5199
(904) 272-1690
(904) 272-1691
Mailing address
2177 KINGSLEY AVE, SUITE #1, ORANGE PARK, FL 32073-5199
(904) 272-1690
(904) 272-1691
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PH21596
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031132400
—
FL
01
—
2005362
PK
—
Enumeration date
07/17/2006
Last updated
08/19/2016
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