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Organization

JTJ MEDICAL SUPPLY, INC.

Active
Other names
Mail-Meds Clinical Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
LISA SHIERS (PHARMACY OPERATIONS OFFICER)
(239) 939-9226
Entity
Organization

Contact information

Practice address
1125 N NOVA RD, DAYTONA BEACH, FL 32117-4108
(800) 939-2022
(855) 523-0910
Mailing address
PO BOX 62134, FORT MYERS, FL 33906-2134
(800) 939-2022
(855) 523-0910

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH29136
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101331800
FL
01
2152348
PK
Enumeration date
06/05/2015
Last updated
05/23/2025
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