Organization
JOSEPHS PHARMACY LLC
Active
Other names
JOSEPH'S PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JAISON JOSEPH (PHARMACIST IN CHARGE)
(850) 316-7604
Entity
Organization
Contact information
Practice address
3130 N PACE BLVD, PENSACOLA, FL 32505-5140
(850) 332-6998
(850) 466-2762
Mailing address
7125 ANNANDALE DR, PENSACOLA, FL 32526-8054
(850) 332-6998
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH25080
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5702902
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/02/2010
Last updated
01/11/2011
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